2017年古巴输入性皮肤利什曼病病例:人体运动的作用

IF 2.4 Q3 INFECTIOUS DISEASES
Lianet Monzote, Daniel González, Orestes Blanco, Jorge Fraga, Virginia Capó, Alberto Herrera, Ana Margarita Montalvo
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引用次数: 1

摘要

背景:利什曼病是一种由利什曼属几种物种引起的媒介传播疾病。据了解,在过去几年中,与人员流动有关的病例数量有所增加。由于2017年抵达古巴的可疑利什曼病例有所增加,本文提出了总体分析。方法:收集2017年1 - 12月古巴佩德罗Kourí热带医学研究所收治的5例疑似利什曼病患者的临床样本。使用不同的诊断方法对皮肤病变样本进行分析:直接涂片、组织学检查和分子分析以鉴定物种。从每个病例中索取流行病学和人口统计资料并进行分析。并对患者进行了治疗和随访。结果:经显微镜观察和分子检测结果证实5例为利什曼原虫感染。PCR-18S、PCR-N/RFLP和PCR-F/RFLP分别鉴定出L.panamensis(2例)、L. braziliensis(1例)、L.panamensis/L.;guyanensis(1例),L. mexicana complex(1例)。在接受治疗的患者中,药物耐受性良好,有治愈记录,目前没有复发的报道(3年后)。结论:每个病例的临床特征、人口统计数据和感染的流行病学特征都证明了前往利什曼病流行地区旅行的潜在风险。关键词:皮肤利什曼病,流行病学,输入病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Imported cases of cutaneous leishmaniasis in Cuba, 2017: role of human movement.

Imported cases of cutaneous leishmaniasis in Cuba, 2017: role of human movement.

Background: Leishmaniasis is a vector-borne disease caused by several species from genus Leishmania. An increase in the number of cases related to human movement has been informed in the last years. Due to the increase of suspicious leishmaniasis cases arriving in Cuba during 2017, a general analysis is presented herein.

Methods: Clinical samples were collected from 5 patients suspicious of leishmaniasis, received from January to December 2017 at the Institute of Tropical Medicine Pedro Kourí, Cuba. Skin lesion samples were analyzed using different diagnostic assays: direct smear, histological examination, and molecular analysis for species identification. Epidemiological and demographic data were requested from each case and analyzed. Treatment and follow up of patient was also performed.

Results: Five cases were confirmed as Leishmania infection according to microscopic observation and molecular methods results. PCR-18S, PCR-N/RFLP and PCR-F/RFLP identified the following species: L. panamensis (2 cases), L. braziliensis (1 case), L.panamensis/L.guyanensis (1 case), L. mexicana complex (1 case). In treated patients, drugs were well tolerated, cure were documented and no relapse have been currently reported (3 years later).

Conclusions: Clinical characteristics, demographic data, and epidemiological features of infection for each case evidence the potential risk related with travel to endemic areas of leishmaniasis.

Keyworks: Cutaneous leishmaniasis, Epidemiology, Imported cases.

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来源期刊
CiteScore
5.20
自引率
0.00%
发文量
25
审稿时长
17 weeks
期刊介绍: Tropical Diseases, Travel Medicine and Vaccines is an open access journal that considers basic, translational and applied research, as well as reviews and commentary, related to the prevention and management of healthcare and diseases in international travelers. Given the changes in demographic trends of travelers globally, as well as the epidemiological transitions which many countries are experiencing, the journal considers non-infectious problems including chronic disease among target populations of interest as well as infectious diseases.
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