Leishmania infantum chagasi in northeastern Brazil: asymptomatic infection at the urban perimeter.

Visceral leishmaniasis (VL) is endemic in large cities in Brazil, including Natal. We determined the prevalence of asymptomatic human infection with Leishmania infantum chagasi and associated environmental risks around Natal. Infection was detected by Leishmania skin test (LST) and anti-leishmanial antibodies in humans and anti-leishmanial antibodies in dogs. Amongst 345 humans, 24.6% were seropositive, and 38.6% were LST-positive. Prevalence of positive serology was similar in both sexes and across all ages. However, positive LST responses increased with age, suggesting that LST is long-lasting and cumulative. Multinomial logistic analysis showed that LST response varied with location (P = 0.007) and that males were more frequently LST-positive (P = 0.027). Indicators of lower socioeconomic status associated significantly with human infection. Furthermore, there was geographic coincidence of seropositive humans and dogs (r = 0.7926, P = 0.011). These data suggest that dog and human L. i. chagasi infection are intimately interrelated in environmental conditions associated with low income.

Artérias mesentéricas cranial e caudal em mocós Kerodon rupestris (Wied, 1820) / Cranial and caudal mesenteric arteries in rock cavy Kerodon rupestris (Wied, 1820)

No estudo sobre a origem e ramificações das artérias mesentéricas cranial (AMCr) e caudal (AMCa) do mocó, foram utilizados 20 animais (18 machos e 2 fêmeas) de diferentes idades, que, após morte natural, foram dissecados rebatendo-se as paredes torácica e abdominal, pelo antímero esquerdo, expondo-se a aorta que foi então canulada em seu trajeto pré-diafragmático, procedendo-se a injeção de neoprene látex corado, no sentido caudal. A seguir, foram fixados em solução aquosa de formol a 10 por cento, durante 48 horas, e posteriormente dissecados. Os resultados mostraram que em 18 animais (90 por cento), a AMCr originou-se da aorta abdominal isoladamente, logo após a artéria celíaca, emitindo as artérias cólica média (CoM), pancreaticoduodenal caudal (PDC), duodenojejunal (DJ), jejunal (J) e ileocecocólica (ICeCo). Em um mocó (5 por cento), as AMCr e AC se originaram da aorta abdominal em um tronco comum. Neste caso, a AMCr originou às artérias CoM, PDC, ICeCo e J. Em uma observação (5 por cento), as artérias AMCr e AMCa surgiram em tronco comum. Neste animal, as artérias PDC, DJ, ICeCo, CoM e J foram originadas da AMCr, enquanto as aterias cólica esquerda (CoE) e retal cranial (ARCr) derivaram da AMCa. Dois animais (10 por cento) apresentaram como colaterais da AMCr as artérias CoM, PDC, DJ, J e o tronco ICeCo, que originou às artérias CoD e ileocecal (ICe). No que diz respeito a AMCa, nos 20 casos (100 por cento) originou as artérias CoE e RCr.

In this study about the origin and ramification of the cranial (CrMA) and caudal (CaMA) mesenteric collateral arteries of the rock cavy, 20 animals (18 males and 2 females) of different ages, originated from the Wild Animals Multiplication Center of the Universidade Federal Rural do Semi-Árido (Cemas/Ufersa), were used. After the natural death, the walls of the abdominal cavity of the animals, in the left antimere, were dissected to cannulate to the aorta in pre-diaphragmatic path. Then they were fixed in 10 percent formaline and conditioned in order to study their anatomy. The results showed that in 18 animals (90 percent) the CrMA arose, separately, of the abdominal aorta, soon after the celiac artery (CA), originating, by this time, the middle colic (MCo), caudal pancreaticduodenal (CPD), duodenojejune (DJ), jejune (J) and ileocecocolic (ICeCo) trunk from which derives the ileocecal (ICe) and the right colic (RCo) arteries. In one rock cavy (5 percent), the CrMA and CA originate from abdominal aorta in a common trunk. In this case the CrMA originated the CPD, MCo, ICeCo, and J. In one observation (5 percent) CrMA and CaMA appear in common trunk. In this animal, CPD, DJ, ICeCo, MCo and J arteries were originated of the CrMA, while the left colic (LCo) and rectal cranial (RCr) arteries were originated of the CaMA. Regarding the CaMA, in 20 cases (100,00 percent) it originates the LCo and the rectal cranial arteries.

Canine visceral leishmaniasis in urban and rural areas of Northeast Brazil.

The purpose of this study was to determine the clinical and laboratory profiles of canine leishmaniasis in two distinct areas. Dogs from urban and rural areas were examined. The population studied in the metropolitan area included 54 dogs. Of these, 20 (37%) animals did not present with any signs suggestive of visceral leishmaniasis (VL). Among these, only eight were confirmed negative by ELISA (rK39 and CE) and 12 dogs, clinically negative for leishmaniasis, were seropositive by ELISA (rK39 and CE). Thinness, conjunctivitis and onychogryphosis were the most frequent clinical signs in the urban areas, followed by crusty lesions, alopecia, ulcerated lesions, hyperkeratosis and exfoliation. In the metropolitan area human VL cases occurred mainly in 1991, 1992, 1999 and 2000. In the rural areas the ELISA rK39 test detected a seroprevalence of 11.3% and ELISA CE (Leishmania crude extract) of 20.6%. Thirty-nine dogs were examined 6 months after the first visit. Serological exams using rK39 antigen showed seroconversion of only one dog, whereas Leishmania CE showed seroconversion of 13 (33.4%) dogs. In this rural environment 83.3% of the positive dogs were asymptomatic. Lutzomyia intermedia and Lu. longipalpis were the most predominant sandfly vector species. Amastigotes were identified in spleen and liver fragments of symptomatic necropsied animals. PCR amplification of DNA isolated from promastigote culture indicated that the species was Leishmania chagasi. This finding suggests that delayed diagnosis and euthanasia of potentially infectious animals may occur with an increased transmission risk to sandflies and subsequently to humans.

[Phlebotomine (Diptera: Psychodidae) and leishmaniasis in Rio Grande do Norte State Brazil: anthropic environment responses]. / Flebotomíneos (Diptera: Psychodidae) e leishmanioses no Rio Grande do Norte, Nordeste do Brasil: reflexos do ambiente antrópico.

Natural environmental changes or those resulting from anthropic factors and their impact on infectious diseases have been evaluated in several studies. The objective of this work was to analyze the correlation between the anthropic environment, phlebotomine and leishmaniases in Rio Grande do Norte State, in Northeast Brazil. Information relative to the distribution of vector species in visceral and tegumentary leishmaniasis areas was associated to the record of cases notified by Public Health organs. The analysis suggests associations between the vector species and distribution of the disease with demographic and physionomic characteristics, disorderly growth in the metropolitan area, living conditions and environmental degradation of the Eastern Littoral, the principal area of notified visceral leishmaniasis cases.

Flebotomíneos (Diptera: Psychodidae) e leishmanioses no Rio Grande do Norte, Nordeste do Brasil: reflexos do ambiente antrópico / Phlebotomine (Diptera: Psychodidae) and leishmaniasis in Rio Grande do Norte State Brazil: anthropic environment responses

As alterações ambientais, naturais ou resultantes de ações antrópicas e seu impacto sobre as doenças infecciosas têm sido avaliados em diversos estudos. Com o objetivo de analisar possíveis correlações entre o ambiente antrópico, flebotomíneos (Diptera: Psychodidae) e leishmanioses no Rio Grande do Norte, Nordeste do Brasil, foram associadas informações relativas à distribuição de espécies vetoras em áreas de leishmaniose visceral e tegumentar ao registro de casos notificados pelos órgãos de saúde pública. A análise aponta para a existência de associações entre as espécies vetoras e distribuição da doença com características demográficas, fisionômicas, crescimento desordenado da área metropolitana, condições de vida e degradação ambiental do Litoral Oriental, principal área de notificação de casos de leishmaniose visceral.

Natural environmental changes or those resulting from anthropic factors and their impact on infectious diseases have been evaluated in several studies. The objective of this work was to analyze the correlation between the anthropic environment, phlebotomine and leishmaniases in Rio Grande do Norte State, in Northeast Brazil. Information relative to the distribution of vector species in visceral and tegumentary leishmaniasis areas was associated to the record of cases notified by Public Health organs. The analysis suggests associations between the vector species and distribution of the disease with demographic and physionomic characteristics, disorderly growth in the metropolitan area, living conditions and environmental degradation of the Eastern Littoral, the principal area of notified visceral leishmaniasis cases.