Detection of Mycobacterium leprae in saliva and the evaluation of oral sensitivity in patients with leprosy

Autor: Felicien Gonçalves Vasquez, Fernanda Borowsky da Rosa, Tatiana Amaral Pires de Almeida, Valdinete Alves do Nascimento, Felipe Gomes Naveca, Maria da Graça Souza Cunha, Victor Costa de Souza
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Memórias do Instituto Oswaldo Cruz
Memórias do Instituto Oswaldo Cruz., Vol 108, Iss 5, Pp 572-577 (2013)
Memórias do Instituto Oswaldo Cruz, Volume: 108, Issue: 5, Pages: 572-577, Published: AUG 2013
ISSN: 1678-8060
0074-0276
Popis: The aim of this study was to investigate sensitivity disorders in the oral cavity related to the presence of Mycobacterium leprae in the saliva of treatment-naïve patients with leprosy in the state of Amazonas, Brazil. A cross-sectional study was conducted involving 45 subjects with leprosy. The subjects were interviewed to evaluate the sensitivity of the oral cavity. For the detection of M. leprae, saliva and slit-skin smear samples were collected. The samples were analysed using a bacteriological index (BI) protocol and the real-time quantitative polymerase chain reaction (qPCR). The results indicated that 15 of the 45 (33.3%) subjects with leprosy showed decreased oral sensitivity, which confirmed the importance of the oral cavity sensitivity evaluation. There was not a direct relationship between the presence of M. leprae in saliva and changes in oral sensitivity. Positive saliva qPCR results from six (31.6%) of 19 paucibacillary (PB) patients suggested the possibility of a new site for sample collection. Positive results using these diagnostic techniques (BI, slit-skin smear and saliva qPCR) increased to 55.5%, thus opening the possibility of combining these different techniques to increase the rate of positive diagnoses, especially in PB patients.
Databáze: OpenAIRE