Competence of the Human Host as a Reservoir for Leishmania chagasi

The failure of control programs for visceral leishmaniasis (VL) that depend on elimination of infected dogs suggests that other reservoir hosts may participate in the transmission cycle. To determine whether persons infected with Leishmania chagasi can infect the vector sand fly, laboratory-reared L...

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Veröffentlicht in:The Journal of infectious diseases 2000-09, Vol.182 (3), p.997-1000
Hauptverfasser: Costa, Carlos H. N., Gomes, Régis B. B., Silva, Mauro R. B., Garcez, Lourdes M., Ramos, Patricia K. S., Santos, Regina S., Shaw, Jeffrey J., David, John R., Maguire, James H.
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container_title The Journal of infectious diseases
container_volume 182
creator Costa, Carlos H. N.
Gomes, Régis B. B.
Silva, Mauro R. B.
Garcez, Lourdes M.
Ramos, Patricia K. S.
Santos, Regina S.
Shaw, Jeffrey J.
David, John R.
Maguire, James H.
description The failure of control programs for visceral leishmaniasis (VL) that depend on elimination of infected dogs suggests that other reservoir hosts may participate in the transmission cycle. To determine whether persons infected with Leishmania chagasi can infect the vector sand fly, laboratory-reared Lutzomyia longipalpis were allowed to feed on Brazilian subjects with active, cured, and asymptomatic VL and on asymptomatic residents of houses of persons with active VL. Of 3747 insects that had fed, 26 acquired infection from 11 of the 44 persons with active VL, but none acquired infection from the 137 asymptomatic persons. Among persons
doi_str_mv 10.1086/315795
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N. ; Gomes, Régis B. B. ; Silva, Mauro R. B. ; Garcez, Lourdes M. ; Ramos, Patricia K. S. ; Santos, Regina S. ; Shaw, Jeffrey J. ; David, John R. ; Maguire, James H.</creator><creatorcontrib>Costa, Carlos H. N. ; Gomes, Régis B. B. ; Silva, Mauro R. B. ; Garcez, Lourdes M. ; Ramos, Patricia K. S. ; Santos, Regina S. ; Shaw, Jeffrey J. ; David, John R. ; Maguire, James H.</creatorcontrib><description>The failure of control programs for visceral leishmaniasis (VL) that depend on elimination of infected dogs suggests that other reservoir hosts may participate in the transmission cycle. To determine whether persons infected with Leishmania chagasi can infect the vector sand fly, laboratory-reared Lutzomyia longipalpis were allowed to feed on Brazilian subjects with active, cured, and asymptomatic VL and on asymptomatic residents of houses of persons with active VL. Of 3747 insects that had fed, 26 acquired infection from 11 of the 44 persons with active VL, but none acquired infection from the 137 asymptomatic persons. Among persons &lt;4 years old with active VL, a history of diarrhea and higher peripheral blood neutrophil counts were independent predictors of infectivity. 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To determine whether persons infected with Leishmania chagasi can infect the vector sand fly, laboratory-reared Lutzomyia longipalpis were allowed to feed on Brazilian subjects with active, cured, and asymptomatic VL and on asymptomatic residents of houses of persons with active VL. Of 3747 insects that had fed, 26 acquired infection from 11 of the 44 persons with active VL, but none acquired infection from the 137 asymptomatic persons. Among persons &lt;4 years old with active VL, a history of diarrhea and higher peripheral blood neutrophil counts were independent predictors of infectivity. Further experiments using larger numbers of insects are necessary to evaluate the reservoir competence of persons with asymptomatic infections, who represent a large segment of the population of several Brazilian cities.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>10950806</pmid><doi>10.1086/315795</doi><tpages>4</tpages></addata></record>
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source Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE
subjects Adolescent
Animals
Antibodies
Biological and medical sciences
Blood
Brazil
Child
Child, Preschool
Concise Communications
Diarrhea
Disease Reservoirs
Dogs
Enzyme-Linked Immunosorbent Assay
Human protozoal diseases
Humans
Infant
Infections
Infectious diseases
Insect vectors
Leishmania
Leishmania chagasi
Leishmaniasis, Visceral - transmission
Leshmaniasis
Lutzomyia longipalpis
Medical sciences
Neutrophils
Parasites
Parasitic diseases
Polymerase Chain Reaction
Protozoal diseases
Psychodidae
Tropical medicine
Visceral leishmaniasis
title Competence of the Human Host as a Reservoir for Leishmania chagasi
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