| Journal: | Revista da Sociedade Brasileira de Medicina Tropical |
| Database: | PERIÓDICA |
| System number: | 000281941 |
| ISSN: | 0037-8682 |
| Authors: | Silveira, Thais Gomes Verzignassi1 Arraes, Sandra Mara Alessi Aristides Bertolini, Dennis Armando Teodoro, Ueslei Lonardoni, Maria Valdrinez Campana Roberto, Andrea Claudia Bekner Silva Ramos, Miria Nerilo-Sobrinho, Antonio Ishikawa, Edna2 Shaw, Jeffrey3 |
| Institutions: | 1Universidade Estadual de Maringa, Departamento de Analises Clinicas, Maringa, Parana. Brasil 2Fundacao Nacional de Saude, Departamento de Parasitologia, Belem, Para. Brasil 3Universidade de Sao Paulo, Departamento de Parasitologia, Sao Paulo. Brasil |
| Year: | 1999 |
| Season: | Jul-Ago |
| Volumen: | 32 |
| Number: | 4 |
| Pages: | 413-423 |
| Country: | Brasil |
| Language: | Portugués |
| Document type: | Artículo |
| Approach: | Caso clínico, analítico |
| English abstract | Between 1986 and 1997 a total of 1418 patients were examined at the Clinical Analysis Teaching and Research Laboratory of Maringá State University (LEPAC/UEM) for cutaneous leishmaniasis by direct examination of stained smears made from the lesions, the Montenegro skin test and the indirect immunofluorescent antibody test. Nine hundred and fifty five patients (67.3%) were positive for at least one of the three tests and of these 804 (84.2%) were considered to have contracted the disease in Paraná State; 665 (69.6%) were between 15 and 49 years old; 658 (68.9%) were males; 523 (54.8%) sought medical advice during the first three months of their infections and 74 (7.7%) had mucosal lesions. Of the 83 counties of Paraná State, where the patients had most probably acquired their infections, 44.7% were from the counties of São Jorge do Ivaí (10.2%), Doutor Camargo (9.8%), Terra Boa (7.3%), Maringá (7.3%), Jussara (6.0%) and Cianorte (4.5%). Seventy seven strains of Leishmania (Viannia) braziliensis were isolated and 63.6% of these strains belong to serodema 1 |
| Portuguese abstract | De 1986 a 1997 foram encaminhados ao Laboratório de Ensino e Pesquisa em Análises Clínicas, da Universidade Estadual de Maringá, 1418 pacientes suspeitos de leishmaniose tegumentar para diagnóstico laboratorial. Os testes utilizados foram a intradermorreação de Montenegro, reação de imunofluorescência indireta, pesquisa direta, isolamento e identificação de Leishmania. Destes pacientes, 955 (67,3%) apresentaram pelo menos um dos testes positivo, entre os quais 804 (84,2%) contraíram a infecção no Estado do Paraná, 665 (69,6%) tinham de 15 a 49 anos de idade, 658 (68,9%) eram do sexo masculino, 523 (54,8%) foram diagnosticados nos 3 primeiros meses de evolução da lesão e 74 (7,7%) apresentavam comprometimento nasobucofaríngeo. Dos 83 municípios do Estado do Paraná envolvidos, destacaram-se São Jorge do Ivaí (10,2%), Doutor Camargo (9,8%), Terra Boa (7,3%), Maringá (7,3%), Jussara (6,0%) e Cianorte (4,5%). Foram isoladas 77 cepas de Leishmania (Viannia) braziliensis, predominando (63,6%) o serodema 1 |
| Disciplines: | Medicina, Biología |
| Keyword: | Diagnóstico, Salud pública, Inmunología, Parasitología, Leishmaniasis tegumentaria, Epidemiología, Leishmania |
| Keyword: | Medicine, Biology, Diagnosis, Public health, Immunology, Parasitology, Cutaneous leishmaniasis, Epidemiology, Leishmania |
| Full text: | Texto completo (Ver HTML) |
