The Associations ofLeishmania majorandLeishmania tropicaAspects by Focusing Their Morphological and Molecular Features on Clinical Appearances in Khuzestan Province, Iran
Cutaneous leishmaniasis has various phenotypic aspects consisting of polymorphic amastigotes with different genetic ranges. Samples were collected from suspected patients of Khuzestan province. Prepared smears were stained, scaled, and measured using ocular micrometer. The Cytb, ITS-rDNA, and microsatellite genes ofLeishmaniawere amplified andLeishmaniaspecies were identified by molecular analyses. Of 150 examined suspected patients, 102 were identified toLeishmaniaspecies (90L. major, nineL. tropica, and three unidentified). The amastigotes of 90L. majorhad regular and different irregular shapes within three clinical lesions with no and/or low genetic diversity. Three haplotypes of CytbofL. majorwere found but no variation was observed using ITS-rDNA gene. Interesting findings were that all nineL. tropicahad regular amastigote shapes with more genetic variations, also a patient which had coinfection ofL. major,L. tropica, andCrithidia.At least twoL. majorandL. tropicawere identified in suspected patients of the regions. Different irregular amastigotes’ shapes ofL. majorcan be explained by various reservoir hosts and vectors. In contrast, more molecular variations inL. tropicacould be justified by genetic characters. UnidentifiedLeishmaniacould be mixed pathogens or nonpathogens with mammals’LeishmaniaorCrithidia.