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

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.

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Main Authors: Thomaz-Soccol,Andréa, Mocellin,Marcos, Mulinari,Fabiane, Castro,Edilene Alcântara de, Queiroz-Telles,Flávio de, Alcântara,Fernanda de Souza, Bavaresco,Marcello Tortelli, Hennig,Luciane, Andraus,Anielo, Luz,Ennio, Thomaz-Soccol,Vanete
Format: Digital revista
Language:English
Published: Instituto de Tecnologia do Paraná - Tecpar 2011
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-89132011000300008
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spelling oai:scielo:S1516-891320110003000082011-06-13Clinical aspects and relevance of molecular diagnosis in late mucocutaneous leishmaniasis patients in Paraná, BrazilThomaz-Soccol,AndréaMocellin,MarcosMulinari,FabianeCastro,Edilene Alcântara deQueiroz-Telles,Flávio deAlcântara,Fernanda de SouzaBavaresco,Marcello TortelliHennig,LucianeAndraus,AnieloLuz,EnnioThomaz-Soccol,Vanete Mucocutaneous leishmaniasis molecular diagnosis Leishmania (Viannia) braziliensis 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.info:eu-repo/semantics/openAccessInstituto de Tecnologia do Paraná - TecparBrazilian Archives of Biology and Technology v.54 n.3 20112011-06-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-89132011000300008en10.1590/S1516-89132011000300008
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language English
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author Thomaz-Soccol,Andréa
Mocellin,Marcos
Mulinari,Fabiane
Castro,Edilene Alcântara de
Queiroz-Telles,Flávio de
Alcântara,Fernanda de Souza
Bavaresco,Marcello Tortelli
Hennig,Luciane
Andraus,Anielo
Luz,Ennio
Thomaz-Soccol,Vanete
spellingShingle Thomaz-Soccol,Andréa
Mocellin,Marcos
Mulinari,Fabiane
Castro,Edilene Alcântara de
Queiroz-Telles,Flávio de
Alcântara,Fernanda de Souza
Bavaresco,Marcello Tortelli
Hennig,Luciane
Andraus,Anielo
Luz,Ennio
Thomaz-Soccol,Vanete
Clinical aspects and relevance of molecular diagnosis in late mucocutaneous leishmaniasis patients in Paraná, Brazil
author_facet Thomaz-Soccol,Andréa
Mocellin,Marcos
Mulinari,Fabiane
Castro,Edilene Alcântara de
Queiroz-Telles,Flávio de
Alcântara,Fernanda de Souza
Bavaresco,Marcello Tortelli
Hennig,Luciane
Andraus,Anielo
Luz,Ennio
Thomaz-Soccol,Vanete
author_sort Thomaz-Soccol,Andréa
title Clinical aspects and relevance of molecular diagnosis in late mucocutaneous leishmaniasis patients in Paraná, Brazil
title_short Clinical aspects and relevance of molecular diagnosis in late mucocutaneous leishmaniasis patients in Paraná, Brazil
title_full Clinical aspects and relevance of molecular diagnosis in late mucocutaneous leishmaniasis patients in Paraná, Brazil
title_fullStr Clinical aspects and relevance of molecular diagnosis in late mucocutaneous leishmaniasis patients in Paraná, Brazil
title_full_unstemmed Clinical aspects and relevance of molecular diagnosis in late mucocutaneous leishmaniasis patients in Paraná, Brazil
title_sort clinical aspects and relevance of molecular diagnosis in late mucocutaneous leishmaniasis patients in paraná, brazil
description 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.
publisher Instituto de Tecnologia do Paraná - Tecpar
publishDate 2011
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-89132011000300008
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