印度的卡拉阿扎尔是由热带的莱什马尼亚引起的
D L Sacks1, R T Kenney, R D Kreutzer
1Laboratory of Parasitic Diseases, National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland 20892, USA.
Lancet (London, England)
|April 15, 1995
概括
热带莱什马尼亚,不仅仅是Leishmania donovani,导致印度的内脏莱什马尼亚病. 这一发现可能解释了 Kala-azar 患者接受抗葡萄酸盐的治疗失败.
科学领域:
- 寄生虫学的寄生虫学
- 热带医学 热带医学
- 传染性疾病 传染性疾病
背景情况:
- 印度的Kala-azar (内脏莱什曼病) 通常归因于Leishmania donovani.
- 了解致病的莱什马尼亚物种对于有效的诊断和治疗至关重要.
研究的目的:
- 调查负责印度内脏莱什曼病的莱什曼尼亚寄生虫物种.
- 确定莱什马尼亚热带菌是否在印度的内脏莱什马尼亚病例中发挥作用.
主要方法:
- 分析了来自印度内脏莱什曼病患者的15个莱什曼病寄生虫分离物.
- 分类方法包括单克隆抗体,异酶分析和kDNA分析.
主要成果:
- 在15个分离物中,有4个被确定为Leishmania tropica.
- 热带莱什曼尼亚在历史上与皮肤莱什曼尼亚病有关,但已在内脏化疾病中观察到.
结论:
- 热带莱什马尼亚 (Leishmania tropica) 是印度内脏莱什马尼亚病的共同流行病.
- 热带莱什马尼亚的存在可能会导致对抗糖酸盐的治疗不响应性日益增加.
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