The Parasitemia has Contributed to the Severity of Cases of Visceral Leishmaniasis

Visceral leishmaniasis (VL) occurs due to the evolution, virulence, and adaptation of Leishmania , vector biology, host immune system evasion, and reservoir hosts. Parasitemia can be involved as a warning regarding the clinical severity of VL The present study aims to evaluate the relationship betwe...

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Veröffentlicht in:Indian journal of microbiology 2024-06, Vol.64 (2), p.511-519
Hauptverfasser: Campelo, Cássio Marinho, Medvedovsky, Andres Christopher, de Holanda, Pablo Eliak Linhares, de Oliveira, Denis Francisco Gonçalves, de Albuquerque-Pinto, Luiz Carlos, Melo, Luciana Magalhães, Câmara, Lilia Maria Carneiro
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container_issue 2
container_start_page 511
container_title Indian journal of microbiology
container_volume 64
creator Campelo, Cássio Marinho
Medvedovsky, Andres Christopher
de Holanda, Pablo Eliak Linhares
de Oliveira, Denis Francisco Gonçalves
de Albuquerque-Pinto, Luiz Carlos
Melo, Luciana Magalhães
Câmara, Lilia Maria Carneiro
description Visceral leishmaniasis (VL) occurs due to the evolution, virulence, and adaptation of Leishmania , vector biology, host immune system evasion, and reservoir hosts. Parasitemia can be involved as a warning regarding the clinical severity of VL The present study aims to evaluate the relationship between parasitemia and the prognosis of individuals with VL. Blood and bone marrow samples from individuals with VL were analyzed to identify parasite and quantify or measure parasite burden. Individuals were classified in the clinical score model of risk of death by disease proposed by Coura-Vital et al. (PLoS Negl Trop Dis 8(12): e33742014, 2014). 39/74 individuals presented a better prognosis, and 35/74 individuals presented a worse prognosis. HIV + VL co-infection was present in 32 individuals, of which 12 were considered severe. The group aged 51 to 64 was classified as severe, with a decrease in leukocytes ( p -value 0.0295) and neutrophils ( p -value 0.0476). L. infantum DNA was identified in blood and bone marrow, in 69 individuals, and not detected in 5 individuals. The quantification of the parasite showed greater parasitemia in bone marrow ( P  = 0.0003) with an average of 4.70 × 10 4 Leishmanias /mL about blood, with 0.29 × 10 4 Leishmanias /mL. Individuals in the age group aged 51 to 64 co-infected with HIV + VL had higher parasitemia ( p -value 0.0150) with 2.44 × 10 4 Leishmanias /mL in blood and bone marrow than in the group aged 20 to 50. Parasitemia, measured by molecular biology in blood and bone marrow, was related to the worst clinical prognosis of VL in the age group aged 51 to 64.
doi_str_mv 10.1007/s12088-023-01182-6
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subjects Age groups
Biology
Biomedical and Life Sciences
Blood
Bone marrow
death
DNA
evolution
HIV
Human immunodeficiency virus
Immune system
Leishmania
Leukocytes (neutrophilic)
Life Sciences
Medical Microbiology
Microbiology
mixed infection
Molecular biology
neutrophils
Original Research Article
Parasitemia
Parasites
Parasitic diseases
Prognosis
risk
Risk analysis
Vector-borne diseases
Virulence
Visceral leishmaniasis
title The Parasitemia has Contributed to the Severity of Cases of Visceral Leishmaniasis
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