Identification and Biological Characterization of Leishmania (Viannia) guyanensis Isolated from a Patient with Tegumentary Leishmaniasis in Goiás, a Nonendemic Area for This Species in Brazil
Table 1
ATL patients from whom the isolates were obtained.
Patients
HPV
UAF
WSS
PLR
Sex
M
M
M
M
Age
46
29
22
19
Clinical form
CL
CL
CL
CL
Number of lesions
2
1
1
3
Type of lesions
Ulcerated
Ulcerated
Ulcerated
Ulcerated
Time of lesion
3 m
2 m
8 m
2 m
Lesion site
Upper limbs
Lower limb
Lower limb
Lower limbs
Satellite adenomegaly
No (lymphangitis)
No
No
No
Leishmanin skin test
No reaction
5 mm
NR
5 mm
Histopathological analysis
Presence of amastigotes
Presence of amastigotes
NR
Presence of amastigotes
Treatment
Pentavalent antimonial
Pentavalent antimonial (two cycles)
No treatment
Pentavalent antimonial
Indirect immunofluorescence reaction
No reaction
No reaction 80 (after treatment)
NR
160
Clinical outcome
Clinical cure
Clinical cure
No treatment
NR
Presumed place of infection
Tocantins (TO)
Tocantins (TO)
Goiás (GO)
Pará/Maranhão (MA) (PA)
Patients were assisted at Anuar Auad Tropical Disease Hospital, Goiânia, Goiás (2005-2006). F = feminine, M = masculine, age in years, clinical form CL = cutaneous localized, time of lesion = in months, and NR = patient did not return. Tocantins (TO) is a state of the Northern region, Goiás (GO) is a state in Central Western region, Pará (PA) is a state of the Northern region, and Maranhão (MA) is a state of the Northeastern region (border with Pará).
