[Growth retardation in children with positive intradermic reaction for leishmaniasis: preliminary results]

D F Cunha1, V C Lara, J P Monteiro

  • 1Disciplina de Nutrologia, Departamento de Clínica Médica, Faculdade de Medicina do Triângulo Mineiro, Uberaba, MG. dfcnutro@mednet.com.br

Insights

Children with a positive Montenegro (leishmanin) test showed higher stunting rates. This suggests Leishmania infection negatively impacts child nutritional status, despite similar food intake.

Area of Science:

  • Public Health
  • Tropical Medicine
  • Pediatrics

Background:

  • Leishmaniasis is a significant public health concern in endemic areas.
  • Nutritional status is crucial for child development and immune function.

Purpose of the Study:

  • To compare growth retardation and food intake in children with and without positive Montenegro (leishmanin) tests in Brazil.
  • To investigate the impact of Leishmania infection on children's nutritional status.

Main Methods:

  • A comparative study was conducted in Porteirinha town, Brazil.
  • 24-hour food intake recalls assessed daily nutrient consumption.
  • Anthropometric data were compared against World Health Organization (WHO) standards.
  • Children were categorized into Montenegro-positive (n=9) and Montenegro-negative (n=17) groups.

Main Results:

  • No significant differences in age, daily energy intake, or protein consumption were observed between groups.
  • Montenegro-positive children exhibited a substantially higher prevalence of stunting (44.4%) compared to Montenegro-negative children (5.9%).

Conclusions:

  • Previous Leishmania sp. infection appears to have a detrimental effect on the nutritional status of children.
  • Stunting in Montenegro-positive children indicates potential long-term growth consequences of leishmaniasis.
  • Further research is warranted to elucidate the mechanisms linking Leishmania infection and growth retardation.