AI Article Synopsis

  • A two-year cohort study in Pará State, Brazil, examined the prevalence and clinical aspects of canine Leishmania (L.) chagasi infection in 316 dogs, revealing an overall prevalence of 35.1%.
  • Three immune profiles were identified, with the majority of infected dogs falling under the subclinical profile, particularly profile I, which had a significantly higher risk of converting to symptomatic disease.
  • The study highlights the high mortality rate in profile I dogs and emphasizes the importance of early preventive measures against canine visceral leishmaniasis (CVL).

Article Abstract

Background: A cohort study for 2 years period analysed the prevalence, incidence and clinical-immunological features of canine Leishmania (L.) chagasi-infection in 316 mongrel dogs in a visceral leishmaniasis-endemic area in Pará State, Brazil.

Objective/methods: Diagnosis of infection was performed by the indirect fluorescent antibody test (IFAT-IgG), the leishmanin skin test (LST) and a parasite search (from the popliteal lymph node aspiration) at the beginning of the study and at 6, 12 and 24 months intervals.

Results: IFAT/LST revealed three immune profiles of infection: (I) IFAT /LST (81), (II) IFAT /LST (17) and (III) IFAT /LST (13). Prevalence of profiles I, II and III were 25.6, 5.4 and 4.1%, and an overall prevalence 35.1%. Incidence of profiles I, II and III were 5.4, 0.3 and 0.0%, and an overall incidence 5.7% dogs per month. Incidence at the age ranges <1 year, ≥1 year, <7 years and ≥7 years evidenced a highest rate in the age range <1 year (6.6% dogs per month). Parasitological diagnosis was positive in 19% dogs at the prevalence (85.7% profile I), and in 11% at the incidence (100% profile I). The clinical picture of 179 infected dogs showed 145 (81%) of profile I (82% subclinical); 21 (11.7%) of profile II (100% subclinical); and 13 (7.3%) of profile III (84.6% subclinical). Conversion from subclinical to sick dogs was higher (p < 0.05) in profile I (40.2%) than in profiles II (5.8%) and III (9%). Immunological conversion showed that only 3.2% of profile I dogs (prevalence) converted to LST (two at the end of the first 6 months and 1 after 24 months), while 82.3% of profile II dogs converted to IFAT (11 in the first 6 months, whereas three after 12 months). A 100% death rate was observed in dogs from profile I alone.

Conclusion: These results reinforce the need of adopting preventive strategies against CVL as early as in the first semester of the dog's life.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10650335PMC
http://dx.doi.org/10.1002/vms3.1218DOI Listing

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Article Synopsis
  • A two-year cohort study in Pará State, Brazil, examined the prevalence and clinical aspects of canine Leishmania (L.) chagasi infection in 316 dogs, revealing an overall prevalence of 35.1%.
  • Three immune profiles were identified, with the majority of infected dogs falling under the subclinical profile, particularly profile I, which had a significantly higher risk of converting to symptomatic disease.
  • The study highlights the high mortality rate in profile I dogs and emphasizes the importance of early preventive measures against canine visceral leishmaniasis (CVL).
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This was a longitudinal study carried out during a period over 2 years with a cohort of 946 individuals of both sexes, aged 1 year and older, from an endemic area of American visceral leishmaniasis (AVL) in Pará State, Brazil. The object was to analyze the transmission dynamics of human Leishmania (Leishmania) infantum chagasi infection based principally on the prevalence and incidence. For diagnosis of the infection, the indirect fluorescent antibody test (IFAT) and leishmanin skin test (LST) were performed with amastigote and promastigote antigens of the parasite, respectively.

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