Leishmania chagasi in opossums (Didelphis albiventris) in an urban area endemic for visceral leishmaniasis, Campo Grande, Mato Grosso do Sul, Brazil.

We investigated the occurrence of Leishmania infantum chagasi in Didelphis albiventris opossums at a wild animal rehabilitation center in the city of Campo Grande, Brazil. A total of 54 opossums were tested for L. i. chagasi infection in peripheral blood and bone marrow samples. The samples were analyzed by direct examination, culturing in a specific medium, and polymerase chain reaction-restriction fragment length polymorphism. Leishmania i. chagasi DNA was detected by polymerase chain reaction-restriction fragment length polymorphism in 11 (20.37%) animals. A total of 81.81% of positive opossums were captured in areas of known visceral leishmaniasis transmission. These results suggest a role for D. albiventris in the urban transmission of visceral leishmaniasis.

Parasitismo por turgida turgida (nematoda: psysalopteridae) em gambá de orelha branca, didelphis albiventris (marsupialia: didelphidae), estado de Mato Grosso do Sul / Turgida turgida (nematoda: physalopteridae) parasitic in white-bellied opossum, didelphis albiventris (marsupialia: didelphidae), state of Mato Grosso do Sul, Brazil

Turgida turgida tem sido amplamente relatada parasitando espécies de Didelphis na América do Norte e América do Sul com base em microscopia óptica. No entanto, as características que diferenciam T. turgida de outras espécies de Physalopteridae, devem ser observadas utilizando microscopia eletrônica de varredura (MEV). Uma fêmea, de gambá-de-orelha-branca, Didelphis albiventris, chegou morta no Centro de Reabilitação de Animais Silvestres (CRAS) no município de Campo Grande, Estado de Mato Grosso do Sul, Brasil. Durante a necropsia, os nematóides adultos foram coletados do estômago e do intestino, identificados macroscopicamente e submetidos à MEV para a determinação específica. Este é o primeiro relato de T. turgida confirmado por MEV na região Neotropical, e o primeiro relato em uma área urbana no estado de Mato Grosso do Sul.

Turgida turgida have been largely reported parasitizing Didelphis species in North and South America based on light microscopy observation. However, the features that differentiate T. turgida from other physalopterid species should be observed using scanning electron microscopy (SEM). A female white-bellied opossum, Didelphis albiventris, arrived dead at the Centro de Reabilitação de Animais Silvestres (CRAS) in the municipality of Campo Grande, state of Mato Grosso do Sul, Brazil. During the necropsy, adult nematodes were collected from stomach and intestine. The nematodes were determined to be adult specimens and submitted to SEM for the species determination. This is the first report of T. turgida confirmed by SEM in the Neotropical region and the first report in an urban area in the state of Mato Grosso do Sul, Brazil.

Comparison of conventional methods for diagnosis of visceral leishmaniasis in children of the Center-West Region of Brazil.

In Brazil, sophisticated techniques currently employed for diagnosis of visceral leishmaniasis, such as polymerase chain reaction-based assays, are only available in major research centers, whereas conventional methods are still used in many areas where the disease occurs. In the state of Mato Grosso do Sul, in the country's Center-West Region, visceral leishmaniasis has recently emerged in many cities, and duration of the disease, from the onset of symptoms to diagnosis, has been short. Considering that results of diagnostic tests may depend on the phase of the disease, we compared direct examination of bone marrow aspirates (BMAs), BMA culture, and serology by Indirect Immunofluorescence Antibody Test (IFAT) for diagnosis in children, according to time of evolution (< or = 30 days or > 30 days) and to spleen size (< or = 5 cm or > 5 cm) at admission. Duration of the illness did not interfere with test positivity: direct smear examination and IFAT were positive in more than 80% of patients, as was culture in around 60%. Results of positive microscopy, however, where predominant in patients with larger spleens. Thanks to the association of traditional techniques, only a few patients had to begin a treatment trial without confirming the diagnosis. Conventional methods for diagnosis of visceral leishmaniasis are still indispensable in our region, and training professionals in basic techniques should be incremented. The highest sensitivity in laboratory diagnosis among the cases investigated was that obtained with a combination of BMA direct examination and IFAT, nearing 100%.

Comparison of conventional methods for diagnosis of visceral leishmaniasis in children of the Center-West Region of Brazil

In Brazil, sophisticated techniques currently employed for diagnosis of visceral leishmaniasis, such as polymerase chain reaction-based assays, are only available in major research centers, whereas conventional methods are still used in many areas where the disease occurs. In the state of Mato Grosso do Sul, in the country's Center-West Region, visceral leishmaniasis has recently emerged in many cities, and duration of the disease, from the onset of symptoms to diagnosis, has been short. Considering that results of diagnostic tests may depend on the phase of the disease, we compared direct examination of bone marrow aspirates (BMAs), BMA culture, and serology by Indirect Immunofluorescence Antibody Test (IFAT) for diagnosis in children, according to time of evolution (< 30 days or >30 days) and to spleen size (< 5 cm or > 5 cm) at admission. Duration of the illness did not interfere with test positivity: direct smear examination and IFAT were positive in more than 80 percent of patients, as was culture in around 60 percent. Results of positive microscopy, however, where predominant in patients with larger spleens. Thanks to the association of traditional techniques, only a few patients had to begin a treatment trial without confirming the diagnosis. Conventional methods for diagnosis of visceral leishmaniasis are still indispensable in our region, and training professionals in basic techniques should be incremented. The highest sensitivity in laboratory diagnosis among the cases investigated was that obtained with a combination of BMA direct examination and IFAT, nearing 100 percent.

Phlebotomines (Diptera: Psychodidae) in forested areas of the Serra da Bodoquena, state of Mato Grosso do Sul, Brazil.

Investigation was undertaken on the behaviour of the phlebotomine fauna in caves, forests, and anthropic environments of the Serra da Bodoquena, between January 1998 and January 2000. This paper reports on the phlebotomines captured in forested areas with automatic light traps (ALT), Shannon traps (ST), aspiration (AN), at natural resting sites and by human attractiveness (HA) during 24 h. The diversity and abundance of the species were investigated with ALT installed at 16 points (ground level) and 6 in the canopy. Natural infection by flagellates was investigated in females captured with ST AN, and HA. The sandfly fauna was represented by 23 species. Twenty-two of these were captured with ALT 15 of them on the western side, and 20 on the eastern. Lutzomyia longipalpis and Nyssomyia whitmani were the most abundant on the former and this species together with Lutzomyia almerioi on the latter side. On the eastern side the ecotopes located close to caves rendered a significantly greater number (P < or = 0.01) of specimens than did more distant sites. On this side Lu. almerioi contributed with 56% of the total number of specimens. Lu. almerioi females were predominantly attracted by humans (96.4%) and by ST (93.2%) and three of the 2173 dissected (0.138%) presented natural infection by flagellates. The attraction of Lu. almerioi to humans occurred during all seasons, predominantly in the summer, and in nocturnal and diurnal periods. Thus it is bothersome to inhabitants of and visitors to the Bodoquena ridge and a potential vector of flagellates.

Phlebotomines (Diptera: Psychodidae) in forested areas of the Serra da Bodoquena, state of Mato Grosso do Sul, Brazil

Investigation was undertaken on the behaviour of the phlebotomine fauna in caves, forests, and anthropic environments of the Serra da Bodoquena, between January 1998 and January 2000. This paper reports on the phlebotomines captured in forested areas with automatic light traps (ALT), Shannon traps (ST), aspiration (AN), at natural resting sites and by human attractiveness (HA) during 24 h. The diversity and abundance of the species were investigated with ALT installed at 16 points (ground level) and 6 in the canopy. Natural infection by flagellates was investigated in females captured with ST, AN, and HA. The sand fly fauna was represented by 23 species. Twenty-two of these were captured with ALT, 15 of them on the western side, and 20 on the eastern. Lutzomyia longipalpis and Nyssomyia whitmani were the most abundant on the former and this species together with Lutzomyia almerioi on the latter side. On the eastern side the ecotopes located close to caves rendered a significantly greater number (P < 0.01) of specimens than did more distant sites. On this side Lu. almerioi contributed with 56 percent of the total number of specimens. Lu. almerioi females were predominantly attracted by humans (96.4 percent) and by ST (93.2 percent) and three of the 2173 dissected (0.138 percent) presented natural infection by flagellates. The attraction of Lu. almerioi to humans occurred during all seasons, predominantly in the summer, and in nocturnal and diurnal periods. Thus it is bothersome to inhabitants of and visitors to the Bodoquena ridge and a potential vector of flagellates.

Phlebotomines (Diptera, Psychodidae) in caves of the Serra da Bodoquena, Mato Grosso do Sul State, Brazil

The present paper deals with the phlebotomine species captured during the period from January 1998 to June 2000 in 12 caves located in the Serra da Bodoquena, situated in the south central region of Mato Grosso do Sul State, Brazil. Three of the caves are situated further north (in Bodoquena county), seven in the central area (Bonito county) and two in the south (Jardim county). These last two caves and three of those in Bonito are located at the west side of the ridge. Eighteen species of phlebotomines were captured within the caves: Brumptomyia avellari (Costa Lima, 1932), Brumptomyia brumpti (Larrousse, 1920), Brumptomyia cunhai (Mangabeira, 1942), Brumptomyia galindoi (Fairchild & Hertig, 1947), Evandromyia corumbaensis (Galati, Nunes, Oshiro & Rego, 1989), Lutzomyia almerioi Galati & Nunes, 1999, Lutzomyia longipalpis (Lutz & Neiva, 1912), Martinsmyia oliveirai (Martins, Falcão & Silva, 1970), Micropygomyia acanthopharynx (Martins, Falcão & Silva, 1962), Micropygomyia peresi (Mangabeira, 1942), Micropygomyia quinquefer (Dyar, 1929), Nyssomyia whitmani (Antunes & Coutinho, 1939), Psathyromyia campograndensis (Oliveira, Andrade-Filho, Falcão & Brazil, 2001), Psathyromyia punctigeniculata (Floch & Abonnenc, 1944), Psathyromyia shannoni (Dyar, 1929), Pintomyia kuscheli (Le Pont, Martinez, Torrez-Espejo & Dujardin, 1998), Sciopemyia sordellii (Shannon & Del Ponte, 1927) and Sciopemyia sp. A total of 29,599 phlebotomine sandflies was obtained. Lutzomyia almerioi was absolutely predominant (91.5 per cent) over the other species on both sides of the Bodoquena ridge, with the exception of the southern caves in which it was absent. It presents summer predominance, with nocturnal and diurnal activities. The species breeds in the caves and was captured during daytime both in the dark area and in the mouth of the caves. Martinsmyia oliveirai, the second most frequent sandfly, also presents a summer peak and only predominated over the other species in one cave, in which there were human residues.

Estudo de flebotomíneos (Diptera: Psychodidae) em foco de leishmaniose visceral no Estado de Mato Grosso do Sul, Brasil / Study of phlebotomines (Diptera: Psychodidae) in focus of visceral leishmaniasis in Brazil

Nas Américas, Lutzomyia longipalpis tem sido incriminada como vetora da leishmaniose visceral em, praticamente, todas as áreas de ocorrência dessa parasitose. A notificaçäo de casos humanos a partir de 1980 e a presença de cäes com aspecto sugestivo de leishmaniose visceral no Município de Corumbá, Estado de Mato Grosso do Sul, Brasil, levaram a investigaçöes entomológicas na área, com o objetivo de identificar a populaçäo de flebotomíneo vetora. A pesquisa foi realizada no peri e intradomicílio de três residências urbanas e em ecótopo natural, representado por uma gruta, situado fora doperímetro urbano. As capturas, semanais em sua maioria, foram realizadas com armadilhas automáticas luminosas, no período de 1984 a 1986. Os dados metereológicos desse período foram obtidos junto à Estaçäo Metereológica da cidade e os de 1925 a 1982, de bibliografia. A fauna flebotomínea urbana, composta de oito espécies, mostrou-se semelhante à da gruta, porém nesta, a abundância das espécies foi maior. Na área urbana, Lu. cruzi predominou tanto no intra como no peridomicílio: no bairro central, representou 90,3 por cento dos espécimes e nos dois bairros periféricos, os seus percentuais foram menores. Lu. forattinii, também, teve freqüência expressiva em um dos bairros periféricos (39,0 por cento). Na gruta, Lu. corumbaensis foi a espécie predominante. Comenta-se o impacto das condiçöes climáticas e do inseticida aplicado na área urbana na freqüência das espécies, e da utilizaçäo da gruta como criadouro pelos flebotomíneos, com base na evoluçäo da razäo entre os sexos ao longo do período. Foram adicionadas informaçöes sobre antropofilia e de coleta com isca canina de Lu. forattinii. O predomínio de Lu. cruzi na área urbana; a expressiva freqüência de Lu. forattinii na periferia da cidade, bem como a sua antropofilia e o estreito grau de parentesco destas espécies com Lu. longipalpis, a principal vetora da leishmaniose visceral em outras áreas da América, säo aspectos que sugerem a participaçÝo de ambas na transmissäo da doença, em Corumbá.

Estudo epidemiológico sobre leishmaniose tegumentar (LT) no Munícipio de Corguinho, Mato Grosso do Sul: estudos na populaçäo humana / Epidemiologic study on tegumentary leishmaniasis in the municipality of Corguinho, Mato Grosso do Sul: studies in the human population

Com o objetivo de se conhecer a prevalência da infecçao por leishmaniose tegumentar americana, e caracterizaçao da populaçao atingida, em área de transmissao recente, na localidade de Boa Sorte, município de Corguinho, MS, procedeu-se ao estudo, no período de março/9l a março/94, da populaçao residente, compreendendo 150 habitantes. Destes, 12 apresentavam lesoes suspeitas de leishmaniose tegumentar. Em 8 deles foi possível a confirmaçao por meio de exames parasitológicos. Apenas um paciente apresentou a forma mucosa, os demais manifestaram as formas cutâneas, sendo: ulcerada (3), úlcero-verrucosa (1), úlcero vegetante (1), placa-infiltrada (1) e lesao nodular com exuberante adenopatia regional (1). Os pacientes responderam bem ao tratamento com antimoniato de N-metilglucamina (glucantime), 10 a 2Omg Sbv/kg/dia durante 20 dias, com cicatrizaçao das lesoes e raros efeitos colaterais. O parasito isolado de todos os pacientes foi identificado como Leishmania (Viannia) braziliensis, através de anticorpos monoclonais. O teste de Montenegro aplicado em 150 moradores revelou 32 reagentes. Destes, 6 eram portadores da doença, 21 mostraram seqüelas sugestivas da parasitose e 5 nao apresentaram sinais da infecçao. A faixa etária atingida pela parasitose compreendia de 22 a 78 anos com predomínio de homens (75 por cento). A transmissao até o momento revelou-se de caráter extradomiciliar.