Re-Emerging foci of visceral leishmaniasis in Armenia - first molecular diagnosis of clinical samples.

Autor: Sukiasyan A; Research Institute of Epidemiology, Virology and Medical Parasitology after A.B. Alexanyan, Ministry of Health,1 Khudyakov St., 0063, Yerevan,Armenia., Keshishyan A; Research Institute of Epidemiology, Virology and Medical Parasitology after A.B. Alexanyan, Ministry of Health,1 Khudyakov St., 0063, Yerevan,Armenia., Manukyan D; Research Institute of Epidemiology, Virology and Medical Parasitology after A.B. Alexanyan, Ministry of Health,1 Khudyakov St., 0063, Yerevan,Armenia., Melik-Andreasyan G; Research Institute of Epidemiology, Virology and Medical Parasitology after A.B. Alexanyan, Ministry of Health,1 Khudyakov St., 0063, Yerevan,Armenia., Atshemyan L; Research Institute of Epidemiology, Virology and Medical Parasitology after A.B. Alexanyan, Ministry of Health,1 Khudyakov St., 0063, Yerevan,Armenia., Apresyan H; Yerevan State Medical University after Mkitar Heratsi,2 Koryun str., 0025, Yerevan,Armenia., Strelkova M; Martsinovsky Institute of Medical Parasitology, Tropical and Vector-Born Diseases, Sechenov First Moscow State Medical University,Malaya Pirogovskaya 20, 119830 Moscow,Russion Federation., Frohme M; Division Molecular Biotechnology and Functional Genomics,Technical University of Applied Sciences Wildau,Hochschulring 1, 15745 Wildau,Germany., Cortes S; Division Molecular Biotechnology and Functional Genomics,Technical University of Applied Sciences Wildau,Hochschulring 1, 15745 Wildau,Germany., Kuhls K; Division Molecular Biotechnology and Functional Genomics,Technical University of Applied Sciences Wildau,Hochschulring 1, 15745 Wildau,Germany.
Jazyk: angličtina
Zdroj: Parasitology [Parasitology] 2019 Jun; Vol. 146 (7), pp. 857-864. Date of Electronic Publication: 2019 Feb 13.
DOI: 10.1017/S0031182019000064
Abstrakt: Visceral leishmaniasis (VL) was firstly reported in Armenia in 1913. Following a considerable increase of the number of cases until the mid 1950s, the disease disappeared after 1969 and re-emerged in 1999. Scientific literature about VL in Armenia is available only in Russian or Armenian. This paper presents a historical overview about leishmaniasis in Armenia based on this literature as well as an epidemiological update since the re-emergence of the disease. In 1999-2016, 116 indigenous VL cases were recorded mainly in children in 8 of the 11 districts, however, VL is underreported because of lack of trained medical personal and diagnostic facilities. The aim of this work was to apply for the first time molecular diagnosis of VL in Armenia. Out of 25 VL suspected patients, 22 were positive by microscopy and polymerase chain reaction (PCR). Genotyping using internal transcribed spacer 1-PCR-restriction fragment length polymorphism and sequencing identified the causative agent of VL in Armenia as Leishmania infantum. The present work is an important step towards the inclusion of molecular techniques in the current diagnosis of VL in Armenia and the establishment of local molecular diagnostic facilities.
Databáze: MEDLINE
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