American tegumentary leishmaniasis: direct species identification of Leishmania in non-invasive clinical samples

AL Garcia, R Parrado, S De Doncker, H Bermudez, JC Dujardin

    Research output: Contribution to journalA1: Web of Science-articlepeer-review

    Abstract

    Species identification is highly relevant for improved prognosis and adequate treatment of American tegumentary leishmaniasis (ATL). PCR-based methods are available for this purpose but should be simplified to improve accessibility. As a first step in this process, this paper describes a simplified protocol for collection of clinical samples. Using samples from 44 Bolivian patients with confirmed ATL, we demonstrated that hsp70 PCR-RFLP on skin scrapings collected with a tooth pick allowed identification of the parasite species with a sensitivity of 95% and specificity of 100%. Our method should greatly facilitate individual patient management and epidemiological surveillance of ATL. (C) 2006 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.
    Original languageEnglish
    JournalTransactions of the Royal Society of Tropical Medicine and Hygiene
    Volume101
    Issue number4
    Pages (from-to)368-371
    ISSN0035-9203
    DOIs
    Publication statusPublished - 2007

    Keywords

    • B780-tropical-medicine
    • Protozoal diseases
    • Leishmaniasis
    • Tegumentary
    • Cutaneous
    • Species
    • Leishmania braziliensis
    • Leishmania lainsoni
    • Identification
    • Molecular diagnostic techniques
    • PCR
    • Simplified
    • Sensitivity
    • Specificity
    • Bolivia
    • America-Latin

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