Value of culture and nested polymerase chain raction of blood in the prediction of relapses in patients co-infected with Leishmania and human immunodeficiency virus

The use of culture and a nested polymerase chain reaction (PCR) of blood in predicting the probability of relapse was evaluated in 20 patients co-infected with Leishmania and human immunodeficiency virus (HIV). Fourteen of 20 patients relapsed, with 24 clinical relapses diagnosed. During clinical relapse, the parasite was detected by culture in 21 of 24 blood samples and by nested PCR in 23 of 24 blood samples. After treatment and during asymptomatic periods, the parasite was detected by culture in 18 (19.1%) of 94 blood samples and by nested PCR in 58 (61.7%) of 94 blood samples. For positive blood cultures, the Kaplan-Meier probability estimates for relapse at 6, 12, 18, and 24 months were 44%, 68%, 76%, and 76%, respectively, while for positive nested PCRs, the estimates were 20%, 33%, 45%, and 50%, respectively. For negative blood cultures, relapse probabilities for the same time points were 7%, 12%, 12%, and 12%, while for negative nested PCRs, these probabilities were 8%, 14%, 21%, and 26%. Nested PCR-positive results in asymptomatic periods indicated presence of the parasite, but not necessarily relapse. However, the presence of viable parasites during post-treatment follow-up increased the probability of relapse and showed that culture positivity could be a good relapse marker

BioBlitz Serra Llarga-Secans de la Noguera 2021: desenvolupament i espècies presents

En aquest article es fa la descripció de la tasca duta a terme durant el BioBlitz Serra Llarga-Secans de la Noguera dels dies 21 i 22 de maig de 2021 i es presenta el llistat despècies observades amb lobjectiu de facilitar que aquestes observacions es puguin integrar en les bases de dades públiques de biodiversitat.This paper lists the work carried out during the BioBlitz Serra Llarga-Secans de la Noguera on 21-22 May 2021. We present the list of observed species with the aim of facilitating that these observation could be integrated into public biodiversity databases

Value of culture and nested polymerase chain raction of blood in the prediction of relapses in patients co-infected with Leishmania and human immunodeficiency virus

The use of culture and a nested polymerase chain reaction (PCR) of blood in predicting the probability of relapse was evaluated in 20 patients co-infected with Leishmania and human immunodeficiency virus (HIV). Fourteen of 20 patients relapsed, with 24 clinical relapses diagnosed. During clinical relapse, the parasite was detected by culture in 21 of 24 blood samples and by nested PCR in 23 of 24 blood samples. After treatment and during asymptomatic periods, the parasite was detected by culture in 18 (19.1%) of 94 blood samples and by nested PCR in 58 (61.7%) of 94 blood samples. For positive blood cultures, the Kaplan-Meier probability estimates for relapse at 6, 12, 18, and 24 months were 44%, 68%, 76%, and 76%, respectively, while for positive nested PCRs, the estimates were 20%, 33%, 45%, and 50%, respectively. For negative blood cultures, relapse probabilities for the same time points were 7%, 12%, 12%, and 12%, while for negative nested PCRs, these probabilities were 8%, 14%, 21%, and 26%. Nested PCR-positive results in asymptomatic periods indicated presence of the parasite, but not necessarily relapse. However, the presence of viable parasites during post-treatment follow-up increased the probability of relapse and showed that culture positivity could be a good relapse marker

BioBlitz Serra Llarga-Secans de la Noguera 2021: desenvolupament i espècies presents

En aquest article es fa la descripció de la tasca duta a terme durant el BioBlitz Serra Llarga-Secans de la Noguera dels dies 21 i 22 de maig de 2021 i es presenta el llistat d’espècies observades amb l’objectiu de facilitar que aquestes observacions es puguin integrar en les bases de dades públiques de biodiversitatThis paper lists the work carried out during the BioBlitz Serra Llarga-Secans de la Noguera on 21-22 May 2021. We present the list of observed species with the aim of facilitating that these observation could be integrated into public biodiversity databases.En aquest article es fa la descripció de la tasca duta a terme durant el BioBlitz Serra Llarga-Secans de la Noguera dels dies 21 i 22 de maig de 2021 i es presenta el llistat d’espècies observades amb l’objectiu de facilitar que aquestes observacions es puguin integrar en les bases de dades públiques de biodiversita

Autochthonous and imported tegumentary leishmaniasis in Catalonia (Spain): Aetiological evolution in the last four decades and usefulness of different typing approaches based on biochemical, molecular and proteomic markers

Leishmaniasis is a transmissible disease caused by Leishmania protozoa. Spain is endemic for both visceral and cutaneous leishmaniasis, the autochthonous aetiological agent being Leishmania infantum. Around the world, the L. donovani complex is associated with visceral symptoms, while any species of the Leishmania or Viannia subgenera affecting human can produce tegumentary forms. In a context of growing numbers of imported cases, associated with globalization, the aim of this study was to analyse the aetiological evolution of human tegumentary leishmaniasis in a region of Spain (Catalonia). Fifty-six Leishmania strains, isolated from 1981 to 2018, were analysed using MLEE, gene sequencing (hsp70, rpoIILS, fh and ITS2) and MALDI-TOF. The utility of these different analytical methods was compared. The results showed an increase in leishmaniasis over the two last decades, particularly imported cases, which represented 39% of all cases studied. L. infantum, L. major, L. tropica, L. braziliensis, L. guyanensis and L. panamensis were identified. The combination of molecular and enzymatic methods allowed the identification of 29 different strain types (A to AC). Strain diversity was higher in L. (Viannia), whilst the different L. major types were relatable with geo-temporal data. Among the autochthonous cases, type C prevailed throughout the studied period (39%). Minor types generally appeared within a short time interval. While all the techniques provided identical identification at the species complex level, MALDI-TOF and rpoIILS or fh sequencing would be the most suitable identification tools for clinical practice, and the tandem hsp70-ITS2 could substitute MLEE in the epidemiological field