scholarly journals Leishmaniose visceral infantil: relato de caso

2016 ◽  
Vol 95 (3) ◽  
pp. 133
Author(s):  
Luilson Geraldo Coelho Junior ◽  
Alessandra De Paiva Wanderley ◽  
Maire Stefani Lemes ◽  
Bárbara Cristina Dos Santos Ribeiro Leite ◽  
Bárbara Keroleny Viana Cabrobó ◽  
...  
Keyword(s):  
Leishmania Infantum ◽  
Leishmania Donovani ◽  
Lutzomyia Longipalpis ◽  
Leishmania Chagasi

leishmaniose visceral (LV) é uma infecção causada por protozoários tripanosomatídeos do gênero Leishmania, as espécies são: Leishmania donovani e Leishmania infantum (conhecido como Leishmania chagasi na América do Sul). A LV é uma doença parasitária grave, com elevada morbimortalidade em todo o mundo. É considerada a doença tropical mais negligenciada, em termos de desenvolvimento de novos medicamentos. Considerada um importante problema de saúde em todo o Brasil, principalmente na área endêmica de Paracatu-MG. Acomete principalmente crianças com menos de cinco anos de idade. A transmissão ocorre através da picada de fêmeas hematófagas dos vetores Lutzomyia longipalpis ou L. cruzi, infectados pela Leishmania (L.) chagasi. Os sinais clínicos da LV variam de acordo com a resposta imune do hospedeiro, podendo assumir formas assintomáticas, oligossintomáticas e a forma clássica; os principais sinais incluem febre, hepatoesplenomegalia, perda de peso e pancitopenia. Indivíduos não tratados, crianças desnutridas, indivíduos infectados pelo HIV ou em uso de drogas imunossupressoras são grupos de risco, sendo que nesses casos a LV apresenta alta letalidade. O diagnóstico é feito através da demonstração da Leishmania em aspirados de linfonodo, medula óssea e baço; por meio de sorologia, ou teste rápido como o rK39, são amplamente utilizados, e apresentam sensibilidade variável. O tratamento é realizado com antimoniais pentavalentes e anfotericina B lipossomal ou desoxicolato. Não há vacina humana; portanto o combate ao vetor é a melhor medida de prevenção. Relatamos um caso de LV em criança de 04 anos de idade, natural e procedente de Paracatu-MG.

Transmission potential of paromomycin-resistant Leishmania infantum and Leishmania donovani

2019 ◽  
Vol 75 (4) ◽  
pp. 951-957 ◽  
Author(s):  
S Hendrickx ◽  
L Van Bockstal ◽  
H Aslan ◽  
J Sadlova ◽  
L Maes ◽  
...  
Keyword(s):  
Leishmania Infantum ◽  
Leishmania Donovani ◽  
Leishmania Species ◽  
Blood Feeding ◽  
Sand Fly ◽  
Lutzomyia Longipalpis ◽  
Transmission Potential ◽  
Laboratory Rodents ◽  
The Impact

Abstract Objectives Former studies demonstrated quick selection of paromomycin resistance for Leishmania infantum and Leishmania donovani accompanied by increased fitness. The present study aimed to interpret these findings in an epidemiological context by comparing infection of WT and experimentally derived paromomycin-resistant strains in the sand fly vector. Methods Depending on the Leishmania species, Lutzomyia longipalpis and Phlebotomus perniciosus or Phlebotomus argentipes sand flies were artificially infected with procyclic promastigotes of WT and paromomycin-resistant L. infantum (MHOM/FR/96/LEM3323-cl4) or L. donovani (MHOM/NP/03/BPK275/0-cl18). The infection rate and gut/stomodeal valve colonization were determined to monitor parasite phenotypic behaviour within the vector. The impact of the previously described gain of fitness in the vertebrate host on infectivity for the vector was assessed by feeding L. longipalpis on Syrian golden hamsters heavily infected with either WT or paromomycin-resistant parasites. Results WT and paromomycin-resistant Leishmania of both species behaved similarly in terms of infection and parasite location within the studied sand fly species. Blood feeding on infected hamsters did not reveal differences in acquisition of WT and paromomycin-resistant parasites, despite the higher organ burdens observed for the paromomycin-resistant strain. Strains remained resistant after passage in the vector. Conclusions Although paromomycin-resistant parasites show an increased parasite fitness in vitro and in laboratory rodents, the intrinsic infection potential of paromomycin-resistant parasites remains unaltered in the sand fly. Of importance is the fact that paromomycin-resistant Leishmania are able to complete development in the natural vectors and produce stomodeal infection with metacyclic forms, which clearly suggests their potential to spread and circulate in nature.

scholarly journals Infecção natural de Lutzomyia (Lutzomyia) longipalpis (Diptera: Psychodidae) por Leishmania infantum chagasi em flebotomíneos capturados no município de Janaúba, Estado de Minas Gerais, Brasil

2011 ◽  
Vol 44 (1) ◽  
pp. 58-62 ◽  
Author(s):  
Érika Monteiro Michalsky ◽  
Karla de Sena Guedes ◽  
Fabiana de Oliveira Lara e Silva ◽  
João Carlos França-Silva ◽  
Consuelo Latorre Fortes Dias ◽  
...  
Keyword(s):  
Leishmania Infantum ◽  
Minas Gerais ◽  
Lutzomyia Longipalpis ◽  
Leishmania Chagasi ◽  
Pcr Rflp ◽  
Leishmania Infantum Chagasi

INTRODUÇÃO: A leishmaniose visceral tem sido notificada em quase todos os estados do Brasil, e principalmente no norte de Minas Gerais, onde a doença é endêmica. Este estudo visou detectar a infecção natural de Lutzomyia longipalpis e identificar através da técnica de PCR/RFLP a espécie de Leishmania encontrada nos flebotomíneos do município de Janaúba. MÉTODOS: Utilizando-se armadilhas luminosas, foram capturadas 1.550 fêmeas de L. longipalpis, que agrupadas em pool de 10 exemplares foram submetidas à extração e amplificação de DNA, através das técnicas de PCR genérico e cacofonia. RESULTADOS: Dos 155 pools, seis apresentaram-se positivos para Leishmania sp., sendo a taxa de infecção do município de 3,9%. Através da PCR/RFLP determinou-se que o padrão de digestão das amostras positivas foi semelhante ao da cepa referência Leishmania chagasi (MHOM/BR/74/PP75). CONCLUSÕES: A detecção de infecção natural associada a estudos sobre a epidemiologia da LV sugere que L. longipalpis esteja envolvida na transmissão de L. infantum chagasi em Janaúba, principalmente nas áreas de intensa transmissão de LV.

scholarly journals The transmission of Leishmania infantum chagasi by the bite of the Lutzomyia longipalpis to two different vertebrates

2012 ◽  
Vol 5 (1) ◽  
Author(s):  
Nagila FC Secundino ◽  
Vanessa C de Freitas ◽  
Carolina C Monteiro ◽  
Ana-Clara AM Pires ◽  
Bruna A David ◽  
...  
Keyword(s):  
Leishmania Infantum ◽  
Lutzomyia Longipalpis ◽  
Leishmania Infantum Chagasi

scholarly journals Ecology of Lutzomyia longipalpis and Lutzomyia migonei in an endemic area for visceral leishmaniasis

2014 ◽  
Vol 23 (3) ◽  
pp. 320-327 ◽  
Author(s):  
Rafaella Albuquerque Silva ◽  
Fabricio Kassio Moura Santos ◽  
Lindemberg Caranha de Sousa ◽  
Elizabeth Ferreira Rangel ◽  
Claudia Maria Leal Bevilaqua
Keyword(s):  
Visceral Leishmaniasis ◽  
Leishmania Infantum ◽  
Indoor Environment ◽  
Endemic Area ◽  
Natural Infection ◽  
Sampling Site ◽  
Lutzomyia Longipalpis ◽  
Sand Flies ◽  
Sampling Points ◽  
Lutzomyia Migonei

The main vector for visceral leishmaniasis (VL) in Brazil is Lutzomyia longipalpis. However, the absence of L. longipalpis in a region of autochthonous VL demonstrates the participation of other species in the transmission of the parasite. Studies conducted in La Banda, Argentina, and São Vicente Férrer, Pernambuco State, Brazil, have correlated the absence of L. longipalpisand the presence of L. migonei with autochthonous cases of VL. In São Vicente Férrer, Pernambuco, there was evidence for the natural infection of L. migonei with Leishmania infantum chagasi. Thus, the objective of this work was to assess the ecology of the sand flies L. longipalpis and L. migonei in Fortaleza, an endemic area for VL. Insect capture was conducted at 22 sampling points distributed across four regions of Fortaleza. In total, 32,403 sand flies were captured; of these, 18,166 (56%) were identified as L. longipalpis and 14,237 (44%) as L. migonei. There were significant density differences found between the vectors at each sampling site (indoors and outdoors) (p <0.0001). These findings confirm that L. migonei and L. longipalpis are distributed throughout Fortaleza, where they have adapted to an indoor environment, and suggest that L. migonei may share the role as a vector with L. longipalpis in the transmission of VL in Fortaleza.

scholarly journals Natural infection of phlebotomines (Diptera: Psychodidae) in a visceral-leishmaniasis focus in Mato Grosso do Sul, Brazil

2007 ◽  
Vol 49 (2) ◽  
pp. 119-122 ◽  
Author(s):  
João Cezar do Nascimento ◽  
Byanca Regina de Paiva ◽  
Rosely dos Santos Malafronte ◽  
Wedson Desidério Fernandes ◽  
Eunice Aparecida Bianchi Galati
Keyword(s):  
Visceral Leishmaniasis ◽  
Natural Infection ◽  
Leishmania Species ◽  
Common Species ◽  
The Other ◽  
Lutzomyia Longipalpis ◽  
Leishmania Chagasi ◽  
Mato Grosso ◽  
Negative Results ◽  
Mato Grosso Do Sul

The main purpose of this study was to investigate natural infection by Leishmania in phlebotomine females in a visceral-leishmaniasis focus in Antonio João county in Mato Grosso do Sul State, Brazil. Between June and October 2003, the digestive tracts of 81 females captured in Aldeia Campestre, Aldeia Marangatu and Povoado Campestre were dissected. The females were separated by species, location, area and date of capture into 13 groups and kept in ethanol 70%. To identify the Leishmania species using the PCR technique, amplifications of the ribosomal-DNA (rDNA) and mini-exon genes were analyzed. Of the 81 specimens, 77 (95%) were Lutzomyia longipalpis, making this the most common species; only one specimen of each of the species Brumptomyia avellari, Evandromyia cortelezzii, Evandromyia lenti and Nyssomyia whitmani was found. Trypanosomatids were identified in eight of the nine groups of Lutzomyia longipalpis (10.39%) one group from Aldeia Campestre, one from Aldeia Marangatu and six from Povoado Campestre; of the eight groups, one from Aldeia Marangatu and another, with promastigotes forms also confirmed by dissection (1.23%) from Povoado Campestre, were identified by PCR as Leishmania chagasi (2.6%). The other groups gave negative results. These findings indicate that there is a high risk of leishmaniasis transmission in this area.

scholarly journals Odour of domestic dogs infected with Leishmania infantum is attractive to female but not male sand flies: Evidence for parasite manipulation

2021 ◽  
Vol 17 (3) ◽  
pp. e1009354
Author(s):  
Monica E. Staniek ◽  
James G. C. Hamilton
Keyword(s):  
Leishmania Infantum ◽  
Etiologic Agent ◽  
Human Infection ◽  
T Test ◽  
Sand Fly ◽  
Lutzomyia Longipalpis ◽  
Sand Flies ◽  
Control Female ◽  
Behavioural Experiments ◽  
Paired T Test

Globally visceral leishmaniasis (VL) causes thousands of human deaths every year. In South America, the etiologic agent, Leishmania infantum, is transmitted from an infected canine reservoir to human hosts by the bite of the sand fly vector; predominantly Lutzomyia longipalpis. Previous evidence from model rodent systems have suggested that the odour of infected hosts is altered by the parasite making them more attractive to the vector leading to an increased biting rate and improved transmission prospects for the pathogen. However, there has been no assessment of the effect of Le infantum infection on the attractiveness of dogs, which are the natural reservoirs for human infection. Hair collected from infected and uninfected dogs residing in a VL endemic city in Brazil was entrained to collect the volatile chemical odours present in the headspace. Female and male Lu. longipalpis sand flies were offered a choice of odour entrained from infected and uninfected dogs in a series of behavioural experiments. Odour of uninfected dogs was equally attractive to male or female Lu. longipalpis when compared to a solvent control. Female Lu. longipalpis were significantly more attracted to infected dog odour than uninfected dog odour in all 15 experimental replicates (average 45.7±0.87 females attracted to infected odour; 23.9±0.82 to uninfected odour; paired T-test, P = 0.000). Male Lu. longipalpis did not significantly prefer either infected or uninfected odour (average 36.1±0.4 males to infected odour; 35.7±0.6 to uninfected odour; paired T-test, P = 0.722). A significantly greater proportion of females chose the infected dog odour compared to the males (paired T-test, P = 0.000). The results showed that the odour of dogs infected with Le. infantum was significantly more attractive to blood-seeking female sand flies than it was to male sand flies. This is strong evidence for parasite manipulation of the host odour in a natural transmission system and indicates that infected dogs may have a disproportionate significance in maintaining infection in the canine and human population.

scholarly journals Leishmania infantum Infection Modulates the Jak-STAT Pathway in Lutzomyia longipalpis LL5 Embryonic Cells and Adult Females, and Affects Parasite Growth in the Sand Fly

2021 ◽  
Vol 2 ◽  
Author(s):  
Erich Loza Telleria ◽  
Daisy Aline Azevedo-Brito ◽  
Barbora Kykalová ◽  
Bruno Tinoco-Nunes ◽  
André Nóbrega Pitaluga ◽  
...  
Keyword(s):  
Post Infection ◽  
Leishmania Infantum ◽  
Janus Kinase ◽  
Sand Fly ◽  
Lutzomyia Longipalpis ◽  
Sand Flies ◽  
Embryonic Cells ◽  
Adult Females ◽  
Parasite Survival ◽  
Stat Pathway

Phlebotomine sand flies (Diptera, Psychodidae) belonging to the Lutzomyia genus transmit zoonoses in the New World. Lutzomyia longipalpis is the main vector of Leishmania infantum, which is the causative agent of visceral leishmaniasis in Brazil. To identify key molecular aspects involved in the interaction between vector and pathogens and contribute to developing disease transmission controls, we investigated the sand fly innate immunity mediated by the Janus kinase/signal transducer and activator of transcription (Jak-STAT) pathway in response to L. infantum infection. We used two study models: L. longipalpis LL5 embryonic cells co-cultured with L. infantum and sand fly females artificially infected with the parasite. We used qPCR to follow the L. longipalpis gene expression of molecules involved in the Jak-STAT pathway. Also, we modulated the Jak-STAT mediated immune response to understand its role in Leishmania parasite infection. For that, we used RNAi to silence the pathway regulators, protein inhibitor of activated STATs (PIAS) in LL5 cells, and STAT in adult females. In addition, the pathway suppression effect on parasite development within the vector was assessed by light microscopy in late-phase infection. The silencing of the repressor PIAS in LL5 cells led to a moderate increase in a protein tyrosine phosphatase 61F (PTP61F) expression. It suggests a compensatory regulation between these two repressors. L. infantum co-culture with LL5 cells upregulated repressors PIAS, suppressor of cytokine signaling (SOCS), and PTP61F. It also downmodulated virus-induced RNA-1 (VIR-1), a pathway effector, indicating that the parasite could repress the Jak-STAT pathway in LL5 cells. In Leishmania-infected L. longipalpis females, STAT and the antimicrobial peptide attacin were downregulated on the third day post-infection, suggesting a correlation that favors the parasite survival at the end of blood digestion in the sand fly. The antibiotic treatment of infected females showed that the reduction of gut bacteria had little effect on the Jak-STAT pathway regulation. STAT gene silencing mediated by RNAi reduced the expression of inducible nitric oxide synthase (iNOS) and favored Leishmania growth in sand flies on the first day post-infection. These results indicate that STAT participated in the iNOS regulation with subsequent effect on parasite survival.

scholarly journals Estado actual de la leishmaniosis en Costa Rica

2009 ◽  
Vol 51 (3) ◽  
Author(s):  
Orlando Jaramillo Antillón ◽  
Azálea Espinoza Aguirre ◽  
Raquel Lobo Philp
Keyword(s):  
Costa Rica ◽  
Leishmania Infantum ◽  
Leishmania Chagasi ◽  
Distribución Geográfica

Se realizó esta investigación, para conocer el comportamiento epidemiológico de esta enfermedad, los vectores relacionados y las especies de leishmanias causantes.Métodos: fuentes de información fueron los boletines epidemiológicos del Ministerio de Salud del 2001 al 2007 y el Instituto Nacional de Estadísticas y Censos. Se calcularon tasas de incidencia por sexo, grupos de edad, provincia y cantón. Las tasas del último trienio se compararon con una investigación que describe la situación epidemiológica de 1973 a 1975, para identificar cambios epidemiológicos de la enfermedad. La revisión bibliográfica permitió describir las formas clínicas y la distribución geográfica de los vectores que la ocasionan.Resultados y conclusión: la incidencia aumentó de 10,5 del 2001 a 40,7 x100.000 habitantes en el 2007. Los menores de 19 años fueron los más afectados. Talamanca presentó la mayor incidencia cantonal. El agente etiológico más frecuente de la leishmaniosis cutánea es la Leishmania (Viannia) panamensis, aunque también existe la L. (V.) braziliensis. Los mosquitos trasmisores fueron Lutzomyia ylephiletor y L. trapidoi. Los reservorios del parásito son los perezosos: Bradypus griseus y Choloepus hoffmanni y un roedor Heteromys desmarestianus. Existe también la leishmaniosis cutánea atípica, producida por Leishmania infantum (=Leishmania chagasi), productora responsable de un caso de leishmaniosis visceral. L.longipalpis, esta asociada a la transmisión de estas dos últimas formas de leishmaniosis. Debe entrenarse al personal de salud, en la detección de esta enfermedad, y educar a la población.

scholarly journals Distinct gene expression patterns in vector-residing Leishmania infantum identify parasite stage-enriched markers

2019 ◽  
Author(s):  
Iliano V. Coutinho-Abreu ◽  
Tiago D. Serafim ◽  
Claudio Meneses ◽  
Shaden Kamhawi ◽  
Fabiano Oliveira ◽  
...  
Keyword(s):  
Leishmania Infantum ◽  
Developmental Stages ◽  
Expression Patterns ◽  
Principal Component ◽  
Sand Fly ◽  
Parasite Development ◽  
Lutzomyia Longipalpis ◽  
Specific Marker ◽  
Limited Information ◽  
Natural Sand

AbstractPromastigotes of Leishmania infantum undergo a series of extracellular developmental stages inside the natural sand fly vector Lutzomyia longipalpis to reach the infectious stage, the metacyclic promastigote. There is limited information regarding the expression profile of L. infantum developmental stages inside the sand fly vector, and molecular markers that can distinguish the different parasite stages are lacking. We performed RNAseq on unaltered midguts of the sand fly Lutzomyia longipalpis after infection with L. infantum parasites. RNAseq was carried out at various time points throughout parasite development. Principal component analysis mapped the sequences corresponding to the procyclic, nectomonad, leptomonad or metacyclic promastigote stage into distinct positions, with the procyclic stage being the most divergent population. Transcriptional levels across genes varied on average between 10- to 100-fold. Comparison between procyclic and nectomonad promastigotes resulted in 836 differentially expressed (DE) genes; between nectomonad and leptomonad promastigotes in 113 DE genes; and between leptomonad and metacyclic promastigotes in 302 DE genes. Most of the DE genes do not overlap across stages, highlighting the uniqueness of each stage. Furthermore, the different stages of Leishmania parasites exhibited specific transcriptional enrichment across chromosomes. Using the transcriptional signatures exhibited by distinct Leishmania stages during their development in the sand fly midgut, we determined the genes predominantly enriched in each stage, identifying multiple stage-specific markers for L. Infantum. Leading stage-specific marker candidates include genes encoding a zinc transporter in procyclics, a beta-fructofuranidase in nectomonads, a surface antigen-like protein in leptomonads, and an amastin-like surface protein in metacyclics. Overall, these findings demonstrate the transcriptional plasticity of the Leishmania parasite inside the sand fly vector and provide a repertoire of stage-specific markers for further development as molecular tools for epidemiological studies.

scholarly journals Odour of domestic dogs infected with Leishmania infantum is attractive to female but not male sand flies: evidence for parasite manipulation

2020 ◽  
Author(s):  
Monica E. Staniek ◽  
James G.C. Hamilton
Keyword(s):  
Visceral Leishmaniasis ◽  
Leishmania Infantum ◽  
Feeding Activity ◽  
Blood Feeding ◽  
Human Infection ◽  
T Test ◽  
Domestic Dogs ◽  
Lutzomyia Longipalpis ◽  
Sand Flies ◽  
Paired T Test

AbstractGlobally visceral leishmaniasis (VL) causes thousands of human deaths every year. In South America, the etiologic agent, Leishmania infantum, is transmitted from an infected canine reservoir to human hosts by the blood-feeding activity of the sand fly vector, predominantly, Lutzomyia longipalpis. Previous evidence from model rodent systems have suggested that the odour of infected hosts is altered by the parasite making them more attractive to the vector leading to an increased biting rate and improved transmission prospects for the pathogen. However, the effect of Le. infantum infection on the attractiveness of naturally infected dogs which are integral to human infection, has not been assessed.Hair collected from infected and uninfected dogs residing in a VL endemic city in Brazil. was entrained to collect the volatile chemical odours present in the headspace. Female and male Lu. longipalpis sand flies were offered a choice of infected or uninfected odour in a series of behavioural experiments. Control experiments established that female and male Lu. longipalpis were equally attracted to uninfected dog odour, female Lu. longipalpis were significantly more attracted to infected dog odour than uninfected dog odour in all 15 experimental replicates (average 45.7±0.87 females attracted to infected odour; 23.9±0.82 to uninfected odour; paired T-test, P=0.000). Male Lu. longipalpis did not significantly prefer either infected or uninfected odour (average 36.1±0.4 males to infected odour; 35.7±0.6 to uninfected odour; paired T-test, P=0.722). A significantly greater proportion of females chose the infected dog odour compared to the males (paired T-test, P=0.000).The results show that dogs infected with Le. infantum are significantly more attractive to blood-feeding female than male sand flies. This is strong evidence for parasite manipulation of the host odour in a natural transmission system and indicates that infected dogs may have a disproportionate significance in maintaining infection in canine and human infection.Author SummaryVisceral leishmaniasis (VL) is a disease caused by the Protist parasite Leishmania infantum. In Brazil and other South and Central American countries, the parasite is transmitted by the blood-feeding activity of infected female Lutzomyia longipalpis sand flies. The disease leads to thousands of human cases and deaths every year. Domestic dogs are the reservoir of infection for humans therefore understanding the effect of infection on dogs is important in developing an understanding of the epidemiology of the disease. Although previous studies on rodent models of Le. infantum infection have shown that infected Golden Hamsters are more attractive to Lu. longipalpis the attractiveness of naturally infected dogs to the insect vector has not been previously been investigated. In this study we showed that the odour of infected dogs is significantly more attractive to female sand flies which can transmit the pathogen than to male sand flies which do not. This clear-cut difference in attraction of female and males suggests that the females are preferentially attracted by parasite infected hosts and may lead to enhanced infection and transmission opportunities for the parasite.

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