Molecular diagnosis of leishmaniasis: contribution to the American Visceral Leishmaniasis Surveillance Program in Sao Paulo State
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Keywords

american visceral leishmaniasis
molecular diagnosis

How to Cite

1.
Pereira-Chioccola VL. Molecular diagnosis of leishmaniasis: contribution to the American Visceral Leishmaniasis Surveillance Program in Sao Paulo State. Bepa [Internet]. 2009 Aug. 31 [cited 2024 Nov. 24];6(68):4-13. Available from: https://periodicos.saude.sp.gov.br/BEPA182/article/view/38574

Abstract

 This study evaluated the ability of PCR to diagnose VL and distinguish L. (L.) chagasi from other Leishmania species. Samples from 114 dogs were divided into two groups: 44 symptomatic and 70 asymptomatic. They were assayed by parasitological methods (culture and microscopic examination) and PCR to L. (L.) chagasi, L. (V.) braziliensis; and in some cases, Leishmania spp. Parasitological tests and PCR-L. chagasi were concordant in 105 samples (92%). VL was confirmed in 49 dogs, while 56 had negative results. Of the 114 samples, 9 had discordant results but were further tested by PCR-Leishmania spp with positive results. VL was also confirmed in 4 dogs having negative parasitological tests and positive PCR-L. chagasi. Consequently, this PCR was positive for 100% (53/49) of dogs with parasites detected in parasitological tests. Also, PCR demonstrated high specificity detecting 61 dogs negative. Leishmania infection was negative in 56 dogs, and 5 with positive culture and PCR-Leishmania spp had CL since they were positive in PCR-L. braziliensis. This study shows the importance of including PCR in diagnosis of leishmaniases by differential diagnosis contributing to the surveillance and control of VL programs.

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Copyright (c) 2009 Vera Lucia Pereira-Chioccola

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