scholarly journals Epidemiological aspects of visceral leishmaniasis in Brazil and in international border regions

2021 ◽  
Vol 10 (12) ◽  
pp. e549101220684
Author(s):  
Lara Camila de Oliveira ◽  
Neide Martins Moreira

Objectives: To verify the number of visceral leishmaniasis (VL) cases in Brazil and its states and twin cities, with a focus on the state and twin city with the highest number of cases. We investigated social, demographic, laboratory and clinical aspects of these cases. Methodological design: We performed a descriptive study using a quantitative approach and data from 2010 to 2019 that were obtained through a public domain website, the Informatics Department of the Unified Health System. The incidence rate of VL cases was calculated per 100,000 inhabitants. software. Results: In Brazil, 35,886 VL cases were reported, with 2,834 cases in international border states and 148 cases in twin cities. The state and twin city with the highest number of cases were Mato Grosso do Sul (1,834 cases) and Corumbá (94 cases), respectively, with annual mean incidence rates of 6.4 and 8.3 cases per 100,000 inhabitants. In Mato Grosso do Sul and Corumbá, the disease was more frequent in male and brown-skinned individuals who had up to 8 years of education (age range: 1 to > 80 years old). Most of the cases occurred in urban areas, was diagnosed by laboratory tests and evolved to cure (p < 0.05). Conclusions: A high number of VL cases in Brazil was found during the period of study. The cases were distributed in 10 states with international borders and eight twin cities. These findings draw attention to the greater need for management programs to control and prevent VL.

2021 ◽  
Vol 15 (4) ◽  
pp. e0009317
Author(s):  
Karine Mattos ◽  
Tiago Alexandre Cocio ◽  
Edilânia Gomes Araújo Chaves ◽  
Clayton Luiz Borges ◽  
James Venturini ◽  
...  

Background Paracoccidioidomycosis (PCM) is a systemic and endemic fungal infection in Latin American, mainly in Brazil. The majority of PCM cases occur in large areas in Brazil, comprising the South, Southeast and Midwest regions, with the latter demonstrating a higher incidence of the species Paracoccidioides lutzii. Methodology and main findings This study presents clinical, molecular and serological data of thirteen new PCM cases during 2016 to 2019 from the state of Mato Grosso do Sul, located in the Midwest region, Brazil. From these thirteen cases, sixteen clinical isolates were obtained and their genomic DNAs were subjected to genotyping by tub1 -PCR-RFLP. Results showed Paracoccidioides brasiliensis sensu stricto (S1) (11/16; 68.8%), Paracoccidioides restrepiensis (PS3) (4/16; 25.0%) and P. lutzii (1/16; 6.2%) as Paracoccidiodes species. Therefore, in order to understand whether the type of phylogenetic species that are circulating in the state influence the reactivity profile of serological tests, we performed double agar gel immunodiffusion (DID), using exoantigens from genotyped strains found in this series of PCM cases. Overall, our DID tests have been false negative in about 30% of confirmed PCM cases. All patients were male, most with current or previous rural activity, with ages ranging from 17 to 59 years, with 11 patients (84.6%) over 40 years of age. No clinical or epidemiological differences were found between Paracoccidioides species. However, it is important to note that the only case of P. lutzii died as an outcome. Conclusions This study suggests P. brasiliensis sensu stricto (S1) as the predominant species, showing its wide geographic distribution in Brazil. Furthermore, our findings revealed, for the first time, the occurrence of P. restrepiensis (PS3) in the state of Mato Grosso do Sul, Brazil. Despite our setbacks, it would be interesting to provide the complete sequencing of these clinical isolates to complement the molecular information presented.


2013 ◽  
Vol 108 (8) ◽  
pp. 992-996 ◽  
Author(s):  
Paulo Silva de Almeida ◽  
Alan Sciamarelli ◽  
Paulo Mira Batista ◽  
Ademar Dimas Ferreira ◽  
Joao Nascimento ◽  
...  

2020 ◽  
Vol 45 (2) ◽  
pp. 340-348
Author(s):  
James Lucas da Costa-Lima ◽  
Earl Celestino de Oliveira Chagas

Abstract—A synopsis of Dicliptera (Acanthaceae) for Brazil is presented. Six species are recognized: Dicliptera ciliaris, D. sexangularis, and D. squarrosa, widely distributed in South America; D. purpurascens, which ranges from the North Region of Brazil (in the state of Acre) to eastern Bolivia; D. gracilirama, a new species from the Atlantic Forest of northeastern Brazil; and D. granchaquenha, a new species recorded in dry and semideciduous forests in Bolivia and western Brazil, in the state of Mato Grosso do Sul. Furthermore, we propose new synonyms and designate lectotypes for eleven names. An identification key to the six accepted Dicliptera species in Brazil is provided.


2019 ◽  
Vol 40 (6Supl2) ◽  
pp. 3313
Author(s):  
Valéria Régia Franco Sousa ◽  
Álvaro Felipe de Lima Ruy Dias ◽  
Juliana Yuki Rodrigues ◽  
Mariana de Medeiros Torres ◽  
Janaína Marcela Assunção Rosa Moreira ◽  
...  

Visceral Leishmaniasis (VL) is a parasitic zoonosis expanding in Brazil. Several municipalities in the state of Mato Grosso including those on the river Cuiabá have reported the incidence of both human and canine cases and the identification of sandfly vector, Lutzomyia longipalpis and Lu. cruzi. Dogs are considered the main reservoir of Leishmania chagasi in the urban areas, hence, we devised a cross-sectional study aimed at assessing the prevalence of the infection in the dogs of riverside communities on Cuiabá River watershed by parasitological (parasitic isolation in culture), serological, and molecular methods. Of the 248 surveyed dogs, 24 were positive in enzyme linked immunosorbent assay (ELISA) or immunofluorescence antibody test (IFAT), with a prevalence of 9.7%. The riverside communities located in the town of Santo Antonio do Leverger displayed a higher prevalence of the disease than the cities of Cuiabá and Várzea Grande; however, the difference was not statistically significant (p > 0.05). Dogs born in the communities had a 3.24-fold higher risk of acquiring the infection. Promastigote were isolated in the axenic culture from the bone marrow samples and intact skin. Further, DNA of Leishmania sp. was detected in the bone marrow samples, lymph nodes, leukocyte cover, and skin of only one examined dog. These samples were sequenced and they showed 99% homology to L. infantum. To conclude, we observed a higher prevalence of infection in Riverside communities of Santo Antonio do Leverger and the confirmation of autochthony in these areas justifies the surveillance actions to minimise the risk of transmission within the riverine community itself, besides its dissemination to other areas by tourism.


Zootaxa ◽  
2021 ◽  
Vol 4933 (1) ◽  
pp. 98-112
Author(s):  
CLÁUDIO H. ZAWADZKI ◽  
GABRIELA NARDI ◽  
LUIZ FERNANDO CASERTA TENCATT

The menaced and poorly-known waters of the Bodoquena Plateau revealed a new resident, the stunning Hypostomus froehlichi sp. n., a large-sized armored catfish, which is finally described after more than twenty years since its discovery. The Bodoquena Plateau is drained by the rio Paraguay basin, and is located in the state of Mato Grosso do Sul, Brazil. The new species differs from its congeners on the Bodoquena crystalline waters by having teeth with morphological and numerical variation in adult specimens. There is a continuous range of specimens having about 20 thick and worn teeth to specimens having about 50 thin teeth with intact crowns and lanceolate main cusps. Additional diagnostic characters are: dentaries angled more than 90 degrees, dark blotches, one plate bordering supraoccipital, moderate keel along dorsal series of plates, usually two rows of blotches per interradial membrane on dorsal, pectoral and ventral fins, and by attaining comparatively large size. Hypostomus froehlichi seems to be endemic to the area of the Bodoquena Plateau, in rivers draining to the rio Miranda. The description of the new species reveals a potential conservation flagship species as it is one of the most seen and documented fish by visitors and divers in the clear waters from the touristic, though menaced, Bonito region in Brazil. 


2008 ◽  
Vol 24 (12) ◽  
pp. 2827-2833 ◽  
Author(s):  
Ana Lúcia Lyrio de Oliveira ◽  
Anamaria Mello Miranda Paniago ◽  
Marcos Antônio Sanches ◽  
Maria Elizabeth Cavalheiros Dorval ◽  
Elisa Teruya Oshiro ◽  
...  

The Brazilian city of Três Lagoas, Mato Grosso do Sul State, has experienced an urban outbreak of visceral leishmaniasis since 2000. In 2002, due to the increase in the number of cases, 46 families with cases of visceral leishmaniasis were studied to verify the prevalence of asymptomatic infection in household contacts. Indirect immunofluorescence and ELISA showed a 36.4% positive infection rate. There were no cases of symptomatic disease among these contacts. There was no statistically significant difference in gender or age. Median age was 21 years, and the 10-19-year age bracket was the most heavily affected (23%). As for family characteristics, no differences were observed in schooling or family income; most families (58.7%) owned their homes, which were built of masonry (97.8%) and had adequate infrastructure. All the families reported what were probably phlebotomine sand flies in the peridomicile. In conclusion, asymptomatic visceral leishmaniasis infection is frequent and occurs in both males and females, regardless of age.


2017 ◽  
Vol 107 (0) ◽  
Author(s):  
Guilherme D. P. Dornelles ◽  
Gustavo Graciolli ◽  
Anderson Odon ◽  
Marcelo O. Bordignon

ABSTRACT We described infracommunities, prevalence and mean intensity of infestation of ecotoparasite flies (Nycteribiidae and Streblidae) on bats in an ecotone area of Cerrado as predominant vegetation, with influence of Atlantic Forest, in the southeast of Mato Grosso do Sul. In 36 sampling nights between April 2015 and August 2016 (23,328 m².h), we captured 17 bat species, of which ten were infested, and 14 species of fly. The most abundant bats were the phyllostomids Artibeus planirostris (Spix, 1823), Glossophaga soricina (Pallas, 1776) and Carollia perspicillata (Linnaeus, 1758) and the most abundant flies were the streblids Trichobius longipes (Rudow, 1871), T. joblingi Wenzel, 1966 and Megistopoda aranea (Coquillett, 1899). Phyllostomus hastatus (Pallas, 1767) was the bat species that presented the highest infestation rate. Platyrrhinus lineatus (É. Geoffroy, 1810) and Desmodus rotundus (É. Geoffroy, 1810) were not infested. Besides that, the frequency of bats that were infested by a single species of fly was higher than the frequency of bats infested for two or more, and it may be a pattern.


2014 ◽  
Vol 56 (3) ◽  
pp. 271-274 ◽  
Author(s):  
Luiz Henrique Conde Sangenis ◽  
Sebastião Roberto de Almeida Lima ◽  
Cíntia Xavier de Mello ◽  
Daniela Trindade Cardoso ◽  
Jurema Nunes Mello ◽  
...  

Visceral Leishmaniasis has been showing remarkable epidemiological changes in recent decades, with marked expansion and an emergence of cases in urban areas of the North, Southeast and Midwest regions of Brazil. The Kala-azar cases reported here, despite being very characteristic, presented a great difficulty of diagnosis, because the disease is not endemic in Volta Redonda. The child underwent two hospitalizations in different hospitals, but got the correct diagnosis only after 11 months of symptom onset. In this report we discuss the main differential diagnoses and call attention to the suspected symptoms of visceral leishmaniasis in patients with prolonged fever, hepatosplenomegaly and pancytopenia, even in areas not traditionally endemic for the disease.


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

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.


2008 ◽  
Vol 50 (5) ◽  
pp. 265-268 ◽  
Author(s):  
Marilene Rodrigues Chang ◽  
Flávia Patussi Correia ◽  
Leonora Correa Costa ◽  
Paula Cristhina Niz Xavier ◽  
Durval Batista Palhares ◽  
...  

The incidence of Candida bloodstream infection has increased over the past years. In the Center-West region of Brazil, data on candidemia are scarce. This paper reports a retrospective analysis of 96 cases of Candida bloodstream infection at a Brazilian tertiary-care teaching hospital in the state of Mato Grosso do Sul, from January 1998 to December 2006. Demographic, clinical and laboratory data were collected from medical records and from the hospital's laboratory database. Patients' ages ranged from three days to 92 years, with 53 (55.2%) adults and 43 (44.8%) children. Of the latter, 25 (58.1%) were newborns. The risk conditions most often found were: long period of hospitalization, utilization of venous central catheter, and previous use of antibiotics. Fifty-eight (60.4%) patients died during the hospitalization period and eight (13.7%) of them died 30 days after the diagnosis of candidemia. Candida albicans (45.8%) was the most prevalent species, followed by C. parapsilosis (34.4%), C. tropicalis (14.6%) and C. glabrata (5.2%). This is the first report of Candida bloodstream infection in the state of Mato Grosso do Sul and it highlights the importance of considering the possibility of invasive Candida infection in patients exposed to risk factors, particularly among neonates and the elderly.


Sign in / Sign up

Export Citation Format

Share Document