First report of an autochthonous human visceral leishmaniasis in a child from the South of Minas Gerais State, Brazil.

American visceral leishmaniasis (VL) is a vector-borne disease transmitted by some species of phlebotomine sandflies from the genus Lutzomyia. This neglected tropical zoonosis shows increasing urbanization process, since the end of the 1980s. After the emergence of foci of the disease in urban areas, VL has assumed an important role in public health. Although VL is widely prevalent in several parts of the world, diagnosing the illness is still difficult. We present a case of a 12-year-old girl with a history of recurrent fever, anorexia, cachexia, chronic fatigue, weight loss, left palpebral unilateral edema, persistent cough and pancytopenia. A diagnosis of VL was performed using a reference immunochromatographic rapid test. Identification of the infecting protozoan was directly obtained by PCR of bone marrow. The patient responded favorably to treatment using liposomal amphotericin B. This is the first report of human visceral leishmaniasis in the city of Lavras in the South of Minas Gerais State. This first report of VL highlighted the need of maintenance of permanent surveillance and control programs in the city of Lavras, including the active search of sandflies, human and canine cases. The current situation of Lavras should also be taken as an alert to other near cities where favorable eco-epidemiological conditions may exist.

Vascularização da bolsa cloacal em Gallus gallus domesticus (Linhagem Master Gris Cou Plumé) / Vascularization of the cloacal bursa in Gallus gallus domesticus (Master Gris Cou Plumé Lineage)

Estudou-se a vascularização da bolsa cloacal em aves da linhagem Master Gris Cou Plumé, quanto a sua origem, número e distribuição dos vasos. Procedeu-se a dissecação dos vasos por meio de duas incisões paramedianas na base do pigóstilo, em 20 exemplares de seis semanas de idade após fixação em solução aquosa de formol a 10%. Anteriormente à fixação, a artéria isquiádica direita foi canulada para perfusão do sistema arterial com solução aquosa a 50% de Neoprene Látex "450", corado com pigmento vermelho. A bolsa cloacal foi irrigada pelas artérias: bursocloacal direita, presente em 19 exemplares (95%) apresentando de um a cinco ramos arteriais; bursocloacal esquerda, presente em todos os casos (100%), apresentando de um a cinco ramos arteriais; cloacal direita, observada em 13 aves (65%), exibindo de um a quatro ramos arteriais; cloacal esquerda, presente em 13 aves (65%), emitindo de dois a três ramos arteriais; e ilíacas internas direita e esquerda, observadas uma única vez (5%), que enviaram dois ramos arteriais. Quanto à distribuição, pode-se afirmar que os quadrantes caudais da bolsa cloacal, de ambos antímeros, foram os que mais receberam ramos arteriais, sendo que o esquerdo recebeu ramos da A. bursocloacal, A. cloacal e A. ilíaca interna em 19 casos (95%), 13 (65%) e um (5%), respectivamente. Os quadrantes craniais direito e esquerdo foram irrigados por ramos da A. bursocloacal em cinco (25%) e quatro casos (20%), respectivamente. Foram observadas grandes variações no aporte sanguíneo da bolsa cloacal da linhagem estudada em relação às demais da espécie Gallus gallus domesticus, concluindo-se que estas diferenças podem estar associadas à maior ou menor funcionalidade do órgão, ou mesmo das características morfofuncionais da linhagem empregada. Estatisticamente não foram observadas diferenças em relação às artérias responsáveis pelo suprimento sanguíneo, quando considerado o antímero e o número de ramos arteriais enviados à bolsa cloacal.

The vascularization of the cloacal bursa in fowls from Master Gris Cou Plumé lineage was studied in relation to origin, number and distribution of vessels. After cannulation of the right sciatic artery in 20 specimens of six-week-old, the arterial system was perfused with a 50% aqueous solution of Neoprene Latex "450" colored with red pigment. Subsequently the specimens were fixated in aqueous 10% formaldehyde. Vessels were dissected through two paramedian incisions at the base of the pygostyle. The cloacal bursa showed to be irrigated by the arteries: right bursocloacal, present in 19 specimens (95%) with one to five arterial branches; left bursocloacal, present in all cases (100%) and showing one to five arterial branches; right cloacal, observed in 13 birds (65%) with one to four arterial branches; left cloacal, also present in 13 birds, sending two to three arterial branches; and right and left internal iliac arteries, observed only in a single individual (5%), which sent two arterial branches. As for distribution, it can be stated that the caudal quadrants of both sides of cloacal bursa were the ones that most received arterial branches. The left one received branches from the bursocloacal, cloacal and internal iliac arteries in 19 (95%), 13 (65%) and one (5%) cases, respectively. The right and the left cranial quadrants were irrigated, respectively, by branches of the bursocloacal artery in five cases (25%) and in four cases (20%). Great variations in blood supply of cloacal bursa were observed in the lineage studied in relation to others lineages of the species Gallus gallus domesticus, concluding that these differences may be associated with greater or lesser functionality of this organ, or even the morphofunctional characteristics of the tested lineage. Statistically were not found significant differences in relation to the arteries responsible by blood supply when considered antimere and number of arterial branches sent to the cloacal bursa.