Clinical aspects and relevance of molecular diagnosis in late mucocutaneous leishmaniasis patients in Paraná, Brazil



Título del documento: Clinical aspects and relevance of molecular diagnosis in late mucocutaneous leishmaniasis patients in Paraná, Brazil
Revista: Brazilian archives of biology and technology
Base de datos: PERIÓDICA
Número de sistema: 000337633
ISSN: 1516-8913
Autores: 1
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Instituciones: 1Universidade Federal do Parana, Hospital das Clinicas, Londrina, Parana. Brasil
2Universidade Federal do Parana, Departamento de Patologia Basica, Londrina, Parana. Brasil
3Universidade Federal do Parana, Setor de Ciencias da Saude, Londrina, Parana. Brasil
Año:
Periodo: May-Jun
Volumen: 54
Número: 3
Paginación: 487-494
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico
Resumen en inglés The aim of the present work was to study the clinical aspects and relevance of molecular diagnosis in late mucocutaneous leishmaniasis patients in Parana, Brazil. Twenty one suspected cases of mucocutaneous leishmaniasis (MCL) in patients from the endemic areas of leishmaniasis were assessed. Different methods used in diagnosing the disease and the polymerase chain reaction (PCR) technique were compared in order to establish the sensitivity of each method. Out of the 21 patients analyzed, 14.3% presented other etiologies such as vasculitis, syphilis, and paracoccidioidomycosis, with all tests negative for leishmaniasis. Out of the remaining 15 patients, 6.7% cases were confirmed for leishmaniasis by direct examination; 46.67% were positive for culture, which allowed isolating and identifying the parasite and – with the PCR technique - it was possible to diagnose 100% MCL patients for all the three repetitions of exams. The PCR optimized for the present work proved to be an auxiliary method for diagnosing leishmaniasis applicable in the patients carrying MCL due to Leishmania (Viannia) braziliensis and did not need culture to be performed, resulting in a faster diagnosis
Disciplinas: Medicina
Palabras clave: Diagnóstico,
Protozoarios,
Parasitología,
Mucocutaneous leishmaniasis,
Biología molecular,
Leishmania braziliensis,
Brasil
Keyword: Medicine,
Diagnosis,
Public health,
Parasitology,
Mucocutaneous leishmaniasis,
Molecular biology,
Leishmania braziliensis,
Brazil,
Protozoa
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