Laure Dimier-David; Christophe David; Pierre Ravisse; Renato Bustillos; Susana Revollo; Philippe Lyèvre; Maruschka Munoz; Fernando Vargas; Jean-Pierre Dedet
ABSTRACT
Parasitological diagnosis, using staned smears, culture and pathological examination of biopsy, was studied in 146 patients infected with mucocutaneous leishmaniasis, in Bolivia and Peru. The most efficient parasite detecting technique appeared to be the smear examination in cutaneous lesions (33 % positive) and the pathology in case of mucous lesions (28 % positive). In both, cutaneous and mucous lesions, the parasites were found most frequently in old lesions.
Keywords: Mucocutaneous leishmaniasis. Leishmania b. braziliensis. Diagnosis. Parasite. Bolivia. Peru.
RESUMO
Diagnósticoparasitolôgico, usando esfregaço, cultura e exame anatomopatológico de biópsia, foi estudado em 146pacientes infectados com leishmaniose mucocutânea, na Bolívia e Peru. A mais eficiente técnica de detectar parasitas parece ser o exame de esfregaço para lesões cutâneas (33% de positividade) e anatomopatológico para lesões de mucosas (28% de positividade). Em ambas lesões, cutânea e mucosa, parasitas foram mais frequentemente encontrados em velhas lesões.
Palavras-chave: Leishmaniose mucocutânea. Leishmania b. braziliensis. Diagnóstico. Parasita. BolÃvia. Peru.
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REFERENCES
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Adress to correspondence:
Dr. Jean-Pierre Dedet
Laboratoire d’Ecologie Médicale et Parasitologie Parasitaire
Annexe de la Faculté de Médecine, 163
rue Auguste Broussonet
34000
Montpellier France.
Recebido para publicação em 18/08/91.
Instituto Boliviano de Biologia de Altura, c/o Embajada de Francia and Servicio de Otorrinolaringologia, Hospital das Clínicas, La Paz, Bolivia. Unité d’Histopathologie, Institut Pasteur, Paris, France.
