Molecular epidemiological study of cutaneous leishmaniasis in the focus of bushehr city, southwestern iran

伊朗西南部布什尔市皮肤利什曼病疫源地分子流行病学研究

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作者:Mohammad Reza Yaghoobi-Ershadi, Farideh Shahbazi, Mohammad Darvishi, Amir Ahmad Akhavan, Reza Jafari, Mohammad Khajeian, Yavar Rassi, Hassan Soleimani, Mohammad Reza Shirzadi, Ahmad Ali Hanafi-Bojd, Hossein Darabi, Mohammad Hossein Arandian, Alireza Sanei-Dehkordi, Mansour Heidari

Background

Cutaneous leishmaniasis (CL) represents the most frequent vector borne parasitoses in Iran. The

Conclusion

Based on this survey L. major and L. tropica are the causative agents of the disease among patients and T. indica plays a predominant role in the dissemination of L. major in the city.

Methods

Studies on human infection was carried out on 2962 school children aged 7-14 years old from 60 primary schools and among 400 households with a total population of 1568 in four infected districts of the city in December 2010. Serosity materials from patients on glass slides were collected for molecular identification of causative agent. Rodents were caught by Sherman traps and examined for identification of the parasite.

Results

Prevalence of scars and ulcers among the inhabitants were 5.86% and 0.12% respectively. Molecular study indicated the presence of two coexisting species: Leishmania major and L. tropica among patients. The scar rate was 1.24% but no ulcers were seen among the students. Nineteen rodents were caught and identified as Tatera indica (47.4%) and Rattus norvegicus (52.6%). Specimens from 7 T. indica and 9 R. norvegicus were examined by two techniques, microscopic examination and nested-PCR. Out of 7 T. indica, 14.3% were infected with L. major and 42.9% with L. turanica by nested-PCR. Out of 9 R. norvegicus 22.2% were infected with L. turanica and 11.1% with L. gerbilli.

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