Cartagena: New Urban Focus of Visceral Leishmaniasis in Colombia.

In Colombia, Visceral Leishmaniasis (VL) is predominant in rural areas of the Caribbean and MagdalenaRiver Valley regions. A one year old female inhabitant of an urban zone in the city of Cartagena displayed symptoms of hepato/splenomegaly, anemia, leucopenia and malnutrition. She had not v...

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Main Authors: Zambrano Hernández, C. P., Ayala Sotelo, M. S., Fuya Oviedo, O. P., Barraza, O. C., Rodríguez Toro, G.
Format: Online
Language:spa
Published: Universidad Pedagógica y Tecnológica de Colombia 2016
Subjects:
Online Access:https://revistas.uptc.edu.co/index.php/ciencia_en_desarrollo/article/view/4234
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author Zambrano Hernández, C. P.
Ayala Sotelo, M. S.
Fuya Oviedo, O. P.
Barraza, O. C.
Rodríguez Toro, G.
author_facet Zambrano Hernández, C. P.
Ayala Sotelo, M. S.
Fuya Oviedo, O. P.
Barraza, O. C.
Rodríguez Toro, G.
author_sort Zambrano Hernández, C. P.
collection OJS
description In Colombia, Visceral Leishmaniasis (VL) is predominant in rural areas of the Caribbean and MagdalenaRiver Valley regions. A one year old female inhabitant of an urban zone in the city of Cartagena displayed symptoms of hepato/splenomegaly, anemia, leucopenia and malnutrition. She had not visited endemic areas for VL but tested positive for VL serologically. After treatment with Glucantimer, her symptoms disappeared, however, three months later, her Montenegro test came out positive. To identify the presence of VL vectors and reservoirs, and also environmental conditions suitable for VL transmission in the area of the reported VL case. There were carried out epidemiological, clinical, immunological and molecular studies to look for other people infected with VL. Also it was searched for VL reservoirs and vectors in the area. The study area presented environmental conditions suitable for VL transmission. No infected children were found, but seven adults had positive Montenegro tests, suggesting exposure to the parasite in this area. Additionally, the VL vector species Lu. evansi was found inside some of these people’s homes. Finally, a domestic dog and a D. marsupialis individual were also found to be infected with Leishmania infantum, confirmed by laboratory. It was demonstrated the presence of a new urban VL scenario in Colombia, which should be object of public health surveillance and acts in the studied area.
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spelling oai:oai.revistas.uptc.edu.co:article-42342022-06-15T17:16:41Z Cartagena: New Urban Focus of Visceral Leishmaniasis in Colombia. Cartagena: nuevo foco de leishmaniasis visceral urbana en Colombia. Zambrano Hernández, C. P. Ayala Sotelo, M. S. Fuya Oviedo, O. P. Barraza, O. C. Rodríguez Toro, G. Didelphis marsupialis Lutzomyia evansi Leishmania infantum Leishmaniasis visceral urbana. (Didelphis marsupialis visceral Leishmaniasis urban.) In Colombia, Visceral Leishmaniasis (VL) is predominant in rural areas of the Caribbean and MagdalenaRiver Valley regions. A one year old female inhabitant of an urban zone in the city of Cartagena displayed symptoms of hepato/splenomegaly, anemia, leucopenia and malnutrition. She had not visited endemic areas for VL but tested positive for VL serologically. After treatment with Glucantimer, her symptoms disappeared, however, three months later, her Montenegro test came out positive. To identify the presence of VL vectors and reservoirs, and also environmental conditions suitable for VL transmission in the area of the reported VL case. There were carried out epidemiological, clinical, immunological and molecular studies to look for other people infected with VL. Also it was searched for VL reservoirs and vectors in the area. The study area presented environmental conditions suitable for VL transmission. No infected children were found, but seven adults had positive Montenegro tests, suggesting exposure to the parasite in this area. Additionally, the VL vector species Lu. evansi was found inside some of these people’s homes. Finally, a domestic dog and a D. marsupialis individual were also found to be infected with Leishmania infantum, confirmed by laboratory. It was demonstrated the presence of a new urban VL scenario in Colombia, which should be object of public health surveillance and acts in the studied area. En Colombia, la leishmaniasis visceral (LV) es de predominio rural, en áreas determinadas de algunosdepartamentos de la Región Caribe y en el valle medio del río Magdalena. Una niña de un año de edad, del área urbana de Cartagena, presentó síntomas de hepato-esplenomegalia, anemia, leucopenia y desnutrición, ella no había estado en áreas de riesgo para LV, tuvo pruebas serológicas positivas, reversó síntomas con Glucantime, y luego de tres meses postratamiento su leishmanina fue positiva. Identificar la presencia de vectores, reservorios y condiciones ambientales para la transmisión de LV en el área del caso confirmado. Se realizaron estudios epidemiológicos, clínicos, inmunológicos y moleculares para buscar otros pacientes, reservorios y vectores. El área de estudio presentó condiciones que favorecen la transmisión de la enfermedad. No se encontraron otros niños enfermos. Siete personas adultas tuvieron resultado reactivo a la Prueba Intradérmica de Montenegro, indicando contacto previo con el parásito, y dentro de su vivienda se capturó Lu. evansi. En un canino y en un Didelphis marsupialis se confirmó por laboratorio la infección por Leishmania infantum. Se demostró un foco urbano y nuevo de LV en Colombia que debe ser objeto de acciones regulares de salud pública. Universidad Pedagógica y Tecnológica de Colombia 2016-02-15 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.uptc.edu.co/index.php/ciencia_en_desarrollo/article/view/4234 10.19053/01217488.4234 Ciencia En Desarrollo; Vol. 7 No. 1 (2016): Enero a Junio; 83-91 Ciencia en Desarrollo; Vol. 7 Núm. 1 (2016): Enero a Junio; 83-91 2462-7658 0121-7488 spa https://revistas.uptc.edu.co/index.php/ciencia_en_desarrollo/article/view/4234/3665 Derechos de autor 2016 CIENCIA EN DESARROLLO
spellingShingle Didelphis marsupialis
Lutzomyia evansi
Leishmania infantum
Leishmaniasis visceral urbana. (Didelphis marsupialis
visceral Leishmaniasis urban.)
Zambrano Hernández, C. P.
Ayala Sotelo, M. S.
Fuya Oviedo, O. P.
Barraza, O. C.
Rodríguez Toro, G.
Cartagena: New Urban Focus of Visceral Leishmaniasis in Colombia.
title Cartagena: New Urban Focus of Visceral Leishmaniasis in Colombia.
title_alt Cartagena: nuevo foco de leishmaniasis visceral urbana en Colombia.
title_full Cartagena: New Urban Focus of Visceral Leishmaniasis in Colombia.
title_fullStr Cartagena: New Urban Focus of Visceral Leishmaniasis in Colombia.
title_full_unstemmed Cartagena: New Urban Focus of Visceral Leishmaniasis in Colombia.
title_short Cartagena: New Urban Focus of Visceral Leishmaniasis in Colombia.
title_sort cartagena new urban focus of visceral leishmaniasis in colombia
topic Didelphis marsupialis
Lutzomyia evansi
Leishmania infantum
Leishmaniasis visceral urbana. (Didelphis marsupialis
visceral Leishmaniasis urban.)
topic_facet Didelphis marsupialis
Lutzomyia evansi
Leishmania infantum
Leishmaniasis visceral urbana. (Didelphis marsupialis
visceral Leishmaniasis urban.)
url https://revistas.uptc.edu.co/index.php/ciencia_en_desarrollo/article/view/4234
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