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Asymptomatic Leishmania Infected Children: A Seroprevalence and Molecular Survey in a Rural Area of Fars Province,
Akram Layegh Gigloo1, Bahador Sarkari1,2, Zahra Rezaei1,3
1Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Insights
A study in Iran found a significant rate of subclinical visceral leishmaniasis (VL) in healthy children. This highlights the need for better surveillance and control of VL in the region.
Area of Science:
- Infectious Diseases
- Parasitology
- Epidemiology
Background:
- Visceral leishmaniasis (VL) is a serious parasitic disease.
- Subclinical infections are common but often overlooked.
- Understanding seroprevalence in asymptomatic populations is crucial for control.
Purpose of the Study:
- To determine the seroprevalence of visceral leishmaniasis in asymptomatic children.
- To detect Leishmania infantum DNA in a rural area of Fars province, Iran.
- To assess the association between seropositivity and demographic factors.
Main Methods:
- Blood samples collected from 617 healthy children.
- Indirect ELISA used to detect anti-Leishmania antibodies.
- Molecular methods (PCR) used to detect L. infantum DNA in buffy coats.
Main Results:
- Seroprevalence of anti-Leishmania antibodies was 2.8% (17/617).
- L. infantum DNA detected in 1.3% (8/617) of children.
- No significant association found between seropositivity and gender or age.
Conclusions:
- A considerable burden of subclinical leishmaniasis exists in the studied population.
- Findings support enhanced surveillance and control strategies for VL in Southern Iran.
- The study underscores the importance of detecting asymptomatic carriers for effective disease management.
Abstract:
The current study aimed to evaluate the seroprevalence of visceral leishmaniasis in asymptomatic healthy children in a rural area of Fars province, Southern Iran. Blood samples were taken from 617 asymptomatic healthy children and serum samples along with buffy coat were separated from the blood. The serum samples were assessed for antibodies against Leishmania infantum by an indirect ELISA and the buffy coats were tested for the presence of L. infantum DNA by molecular method. Of the 617 recruited children, 297 (48.1%) were female and 317 (51.4%) were male. Anti-Leishmania antibodies were detected in 17 (2.8%) of the children. From those 17 seropositive cases, 5 (29.4%) were male and 12 (70.6%) cases were female. Children aged 5-8 years had the highest seroprevalence rate; however, no associations were found between seropositivity to Leishmania and gender or age of the children. Moreover, L. infantum DNA was detected in buffy coat of 8 (1.3%) of 617 children. Three of the PCR-positive cases were seropositive whereas 14 of seropositive subjects (82.3%) were PCR-negative. Findings of the current study revealed a considerable subclinical leishmanial infection in children in the studied rural area in the south of Iran. Results of the current study could be used for surveillance, prevention, and control of VL in the area.
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