Saturday, January 21, 2012

What's new for 'Trypanosomatids' in PubMed

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Sent on Saturday, 2012 January 21
Search: kinetoplastids OR kinetoplastid OR Kinetoplastida OR "trypanosoma brucei" OR leishmania OR brucei OR leishmaniasis OR "African trypanosomiasis"

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PubMed Results
Items 1 - 5 of 5

1. Emerg Infect Dis. 2012 Jan;18(1):165-7. doi: 10.3201/eid1801.111384.

Urban transmission of human african trypanosomiasis, Gabon.

Simon F, Mura M, Pagès F, Morand G, Truc P, Louis F, Gautret P.

Abstract

TO THE EDITOR: We describe a confirmed case of human African trypanosomiasis (HAT) in an expatriate returning to France from Gabon after a probable tsetse fly bite in the urban setting of Libreville. This case indicates a possible urban transmission of HAT in Gabon and stresses the need for entomologic studies in Libreville.

PMID:
22261276
[PubMed - in process]
2. Parasit Vectors. 2012 Jan 19;5(1):20. [Epub ahead of print]

The transmission of Leishmania in fantum chagasi by the bite of the Lutzomyia longipalpis to two different vertebrates.

Secundino NF, Freitas VC, Monteiro CC, Pires AC, David BA, Pimenta PF.

Abstract

ABSTRACT:

BACKGROUND:

Sandflies are vectors of Leishmania, the causative agent of leishmaniasis in mammalian hosts, including humans. The protozoan parasite is transmitted by the sandfly bite during salivation that occurs at the moment of blood feeding. The components of vector saliva include anticlotting and vasodilatory factors that facilitate blood flow and immunomodulatory factors that inhibit wound healing and quell the immune response. Not surprisingly, these factors also play important roles in the establishment of Leishmania infection. To date, the majority of knowledge that has been generated regarding the process of Leishmania infection, including L. infantum chagasi transmission has been gathered by using intradermal or subcutaneous inoculation of purified parasites.

FINDINGS:

This study presents the establishment of a transmission model of Leishmania infantum chagasi by the bite of Lutzomyia longipalpis, the vector of American visceral leishmaniasis. The parasites were successfully transmitted by infected sandfly bites to mice and hamsters, indicating that both animals are good experimental models. The L. infantum chagasi dose that was transmitted in each single bite ranged from 10 to 10, 000 parasites, but 75% of the sandflies transmitted less than 300 parasites.

CONCLUSIONS:

The strategy for initiating infection by sandfly bite of experimental animals facilitates future investigations into the complex and dynamic mechanisms of visceral leishmaniasis. It is important to elucidate the transmission mechanism of vector bites. This model represents a useful tool to study L. infantum chagasi infection transmitted by the vector.

PMID:
22260275
[PubMed - as supplied by publisher]
3. Rev Esp Quimioter. 2011 Sep;24(3):123-6.

Side effects of benznidazole treatment in a cohort of patients with Chagas disease in non-endemic country.

Carrilero B, Murcia L, Martínez-Lage L, Segovia M.

Source

Unidad Regional de Medicina Tropical, Servicio de Microbiología, Hospital Universitario Virgen de la Arrixaca, Carretera Madrid-Cartagena, El Palmar Murcia, Spain.

Abstract

Chagas disease is a disease endemic in Latin America, caused by the parasite Trypanosoma cruzi. Benznidazole is the most commonly used drug for the etiological treatment of the disease although its effectiveness varies according to the phase of the same and toxic side effects are frequent. This prospective study describes the side effects of benznidazole treatment of a cohort of 373 chronic patients. Of these 40.2% presented adverse reactions. The most frequent side effect were dermatological reactions 32.4% (121 of 373) followed by digestive intolerance 9.1% (34 of 373). Surprisingly, three cases of migratory arthritis were observed. Patients treated with benznidazole must be followed up so that the long term incidence of side effects can be studied.

Free Article
PMID:
21947093
[PubMed - indexed for MEDLINE]
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4. Rev Med Chil. 2011 Feb;139(2):258-66. Epub 2011 Jul 11.

[Oral transmission of Chagas' disease].

[Article in Spanish]
Toso M A, Vial U F, Galanti N.

Source

Programa de Biología Celular y Molecular, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de ChileSantiago, Chile.

Abstract

The traditional transmission pathways of Chagas' disease are vectorial, transfusional, transplacental and organ transplantation. However, oral transmission is gaining importance. The first evidence of oral transmission was reported in Brazil in 1965. Nowadays the oral route is the transmission mode in 50% of cases in the Amazon river zone. Oral infection is produced by the ingestion of infected triatomine bugs or their feces, undercooked meat from infested host animals and food contaminated with urine or anal secretion of infected marsupials. Therefore travelers to those zones should be advised about care to be taken with ingested food. In Chile, this new mode of transmission should be considered in public health policies.

Free Article
PMID:
21773665
[PubMed - indexed for MEDLINE]
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5. Rev Med Chil. 2011 Feb;139(2):247-57. Epub 2011 Jul 11.

[Update on the treatment of Chagas' disease].

[ Article in Spanish]
Apt W, Zulantay I.

Source

Laboratorio de Parasitología Básico-Clínico, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago, Chile. wapt@med.uchile.cl

Abstract

Efficient drugs against Chagas' disease must have an effect on the amastigote forms or intracellular reproduction elements of Trypanosoma cruzi (T. cruzi). Trypomastigote and epimastigote forms derive from the former and their response to medications is less marked. The only drugs used in humans are nifurtimox (NF) and benznidazole (BNZ). Other useful medications are allopurinol and itraconazole. NF acts producing free radicals and BNZ inhibits the synthesis of macromolecules. There is consensus that Chagas' disease must be treated in all its periods, since T.cruzi DNA is detected by polymerase chain reaction in chronic cases, even when microscopy is negative. The pharmacological treatment modifies the natural evolution of the disease. It also helps to solve a public health problem, considering that there is a high number of subjects with Chagas' disease. Subjects with chronic chagasic cardiomyopathy with terminal heart failure are the only cases without indication for treatment. Due to the digestive and skin secondary effects of the drugs, treated patients must be controlled clinically and with complete blood counts and hepatic proiles before, during and after the therapy. Approximately 30% of patients will experience secondary effects. Children have a better tolerance to the drugs. Congenital or acquired acute, intermediate and chronic cases should be treated.

Free Article
PMID:
21773664
[PubMed - indexed for MEDLINE]
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