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ABSTRACT Lutzomyia intermedia (Diptera: Psychodidae) features as one of the main vectors that are involved in the transmission of American cutaneous leishmaniasis (ACL) in the Neotropical region. However, genetic studies involving this taxon are still incipient and important for understanding the level of variability of different populations, their role, and implications as vectors. The aim of this study was to determine the level of genetic diversity of L. intermedia present in the Ribeira River Valley, an area of ACL transmission in the state of Paraná, Brazil, through the Random amplified polymorphic DNA (RAPD). Two municipalities were chosen to collect sand flies: Cerro Azul (new transmission area of the ACL) and Adrianópolis (endemic area of the ACL). The insects were captured in the house, in the peridomicile and in the wild (forest). Two of the used markers made it possible to estimate the polymorphism of the studied populations, resulting in 40 genotypes, most of them from peridomicile. The dendrogram generated by the analysis with the primer A10 showed different degrees of similarity, suggesting that there may be gene flow in the studied populations. The Principal Coordinate Analysis (PCO) with the A2 primer, was useful in grouping L. intermedia according to its ecological and geographical origin. There was no distinction between the lineages composing the L. intermedia complex. The results of this study, with the record of great genotypic diversity in L. intermedia, may contribute to explain the maintenance of the life cycle of Leishmania braziliensis (Kinetoplastida: Trypanosomatidae) in the region.

RESUMEN Lutzomyia intermedia (Diptera: Psychodidae) es uno de los principales vectores que participan en la transmisión de leishmaniasis cutánea americana (LCA) en la región Neotropical. A pesar de que aún los estudios genéticos que involucran a este taxón son incipientes, tienen una gran importancia para comprender el nivel de variabilidad de las diferentes poblaciones y sus implicaciones en su papel vectorial. El objetivo de este estudio fue determinar el nivel de diversidad genética de L. intermedia presente en el Valle del Río Ribeira, área de transmisión de LCA en el estado de Paraná, Brasil, mediante RAPD (ADN polimórfico amplificado aleatoriamente). Los flebótomos fueron recolectados en los municipios Cerro Azul (nueva área de transmisión de LCA) y Adrianópolis (área endémica de LCA), donde fueron capturados en ambientes residenciales, en el peridomicilio y en el bosque. Dos de los marcadores utilizados permitieron estimar el polimorfismo en las poblaciones estudiadas con la obtención de 40 genotipos, la mayoría de ellos en el peridomicilio. El dendrograma generado por el análisis con el cebador A10 mostró diferentes grados de similitud, lo que sugiere que puede haber flujo gènico en las poblaciones. El Análisis de Coordenadas Principales (PCO) con el cebador A2 fue útil para agrupar L. intermedia según su origen ecológico y geográfico. No hubo distinción entre los linajes que componen el complejo L. intermedia. Los resultados de este estudio, con el registro de gran diversidad genotipica en L. intermedia, pueden contribuir a explicar el mantenimiento del ciclo biológico de Leishmania braziliensis (Kinetoplastida: Trypanosomatidae) en la región.

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Abstract Leishmania enriettii has only been found in Curitiba metropolitan region, southern Brazil were it was first observed in Cavia porcellus from the vivarium of Instituto de Biologia e Pesquisas Tecnológicas (IBPT - today named TECPAR) by Medina, 1944. Despite more than a half century from its discovery and several research articles on this species, the natural clinical signs in guinea pigs and the parasite genetic variability is still unclear. The aims of this study were to describe the clinical features, investigate the potential wild reservoirs and, in addition, we intended to understand the polymorphism trait of the species. We analyzed 26 naturally infected guinea pigs from eight Paraná state cities. All animals showed lesions compatible with leishmaniosis, such as skin nodules or ulcers on body extremities. Direct examination of the lesion samples obtained by fine-needle aspiration or punch biopsy was conducted followed by isolation and identification of parasite DNA by random amplification of polymorphic DNA (RAPD)-PCR. Through the direct exam, a large number of intracellular amastigote forms were observed in the lesions. Different strains of the parasite, isolated from the 26 animals, were grouped in 5 clusters of approximately 65% similarity. We looked for L. enriettii in other potential reservoir hosts but the parasite was not observed. These results confirm that distinct strains of L. enriettii circulate in guinea pigs from Paraná state, more specifically in the Atlantic forest region, where we believe it serves as the center for dispersion of the species.

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Objetivou-se neste trabalho caracterizar os processos de compostagem de resíduos de cocheira e avaliar a eficiência deles na redução ou na eliminação de ovos e larvas infectantes de Strongylus spp. Os tratamentos de compostagem utilizados foram: aberta sem revolvimento em menor volume (CASRm) e maior volume (CASRM); aberta com revolvimento em menor volume (CAm) e maior volume (CAM); e anaeróbica em biodigestor (CF), em três repetições. As variáveis monitoradas foram temperatura, umidade, presença de parasitos no início e no final do período experimental. No primeiro dia de avaliação, a temperatura no centro das CASRM e CAM atingiu seu máximo, próximo a 60ºC, permanecendo acima de 50ºC nos três primeiros dias. No restante do período experimental, manteve-se ao redor de 30ºC. Antes da aplicação dos tratamentos, observou-se elevada contaminação por larvas de Strongylus spp. (25,3 larvas por grama de resíduo). Ao final do período experimental, considerando o centro das compostagens, houve redução das larvas infectantes de terceiro estágio, da seguinte ordem: 97% (CAM), 87% (CAm), 90% (CASRM) e 100% (CF), e de apenas 26% para o tratamento CASRm. Na parte superficial das compostagens não foram encontrados parasitas em nenhum dos tratamentos. A umidade superficial do composto no final do experimento foi de aproximadamente 17 a 30%, e a interna, de 40 a 60%. Ovos de helmintos permaneceram viáveis, mesmo após o processo de compostagem e o tratamento térmico. Os resultados indicam que com a simples disposição dos resíduos de cocheira sem manejo adequado e em pequenos volumes, não há eliminação total de ovos e de larvas infectantes de Strongylus spp.(AU)

The objective of this study was to characterize the processes of composting stable waste and to evaluate the efficiency in the reduction or elimination of infective eggs and larvae of Strongylus spp. The composting treatments were: open, without rotation, in a smaller volume (CASRm) and larger volume (CASRM); open, with rotation, in a smaller volume (CAm) and a larger volume (CAM), and anaerobic in biodigester (CF), in three replicates. The monitored parameters were temperature, moisture and presence of parasites in the beginning and at the end of the experimental period. Temperature at the center of CAM and CASRM reached ita peak on the first day, of approximately 60ºC, being higher than 50ºC only in the first three days. In the other treatments, the maximum temperature was around 30ºC. Before treatments were applied, it was possible to observe high levels of contamination by larvae of Strongylus spp. (with 25.3 larvae per gram). The reduction of infective third stage larvae in the compost at the end of the experiment was of 97% (CAM), 87% (CAm), 90% (CASRM), 100% (CF), and 26% for the CASRm treatment. On the outside it was not possible to detect the presence of the parasite. The humidity outside the compound at the end of the experiment was of approximately 17 to 30%, and internally, of 40 to 60%. Helminth eggs remained viable even after the composting process and heaingt treatment. The results indicate that the mere provision of stable waste without the proper handling and in small volumes does not lead to the total elimination of eggs and infective larvae of Strongylus spp.(AU)

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Objetivou-se neste trabalho caracterizar os processos de compostagem de resíduos de cocheira e avaliar a eficiência deles na redução ou na eliminação de ovos e larvas infectantes de Strongylus spp. Os tratamentos de compostagem utilizados foram: aberta sem revolvimento em menor volume (CASRm) e maior volume (CASRM); aberta com revolvimento em menor volume (CAm) e maior volume (CAM); e anaeróbica em biodigestor (CF), em três repetições. As variáveis monitoradas foram temperatura, umidade, presença de parasitos no início e no final do período experimental. No primeiro dia de avaliação, a temperatura no centro das CASRM e CAM atingiu seu máximo, próximo a 60ºC, permanecendo acima de 50ºC nos três primeiros dias. No restante do período experimental, manteve-se ao redor de 30ºC. Antes da aplicação dos tratamentos, observou-se elevada contaminação por larvas de Strongylus spp. (25,3 larvas por grama de resíduo). Ao final do período experimental, considerando o centro das compostagens, houve redução das larvas infectantes de terceiro estágio, da seguinte ordem: 97% (CAM), 87% (CAm), 90% (CASRM) e 100% (CF), e de apenas 26% para o tratamento CASRm. Na parte superficial das compostagens não foram encontrados parasitas em nenhum dos tratamentos. A umidade superficial do composto no final do experimento foi de aproximadamente 17 a 30%, e a interna, de 40 a 60%. Ovos de helmintos permaneceram viáveis, mesmo após o processo de compostagem e o tratamento térmico. Os resultados indicam que com a simples disposição dos resíduos de cocheira sem manejo adequado e em pequenos volumes, não há eliminação total de ovos e de larvas infectantes de Strongylus spp.(AU)

The objective of this study was to characterize the processes of composting stable waste and to evaluate the efficiency in the reduction or elimination of infective eggs and larvae of Strongylus spp. The composting treatments were: open, without rotation, in a smaller volume (CASRm) and larger volume (CASRM); open, with rotation, in a smaller volume (CAm) and a larger volume (CAM), and anaerobic in biodigester (CF), in three replicates. The monitored parameters were temperature, moisture and presence of parasites in the beginning and at the end of the experimental period. Temperature at the center of CAM and CASRM reached ita peak on the first day, of approximately 60ºC, being higher than 50ºC only in the first three days. In the other treatments, the maximum temperature was around 30ºC. Before treatments were applied, it was possible to observe high levels of contamination by larvae of Strongylus spp. (with 25.3 larvae per gram). The reduction of infective third stage larvae in the compost at the end of the experiment was of 97% (CAM), 87% (CAm), 90% (CASRM), 100% (CF), and 26% for the CASRm treatment. On the outside it was not possible to detect the presence of the parasite. The humidity outside the compound at the end of the experiment was of approximately 17 to 30%, and internally, of 40 to 60%. Helminth eggs remained viable even after the composting process and heaingt treatment. The results indicate that the mere provision of stable waste without the proper handling and in small volumes does not lead to the total elimination of eggs and infective larvae of Strongylus spp.(AU)

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O presente trabalho investigou a ocorrência de parasitismo por Cryptoporidium spp. em equinos alojados em dois centros de treinamento de equinos localizados no municipio de Curitiba, Paraná. Foram examinados 108 cavalos, sendo 48 procedentes do Centro de treinamento 1 (CT1) e 60 do Centro de Treinamento 2 (CT2). As coletas de amostras de fezes foram realizadas no período de outubro de 2010 a janeiro de 2011. A metodologia utilizada para a confirmação da presença de oocistos de Cryptosporidium spp. foi a técnica de Ziehl-Neelsen modificada. A ocorrência encontrada foi de 18,52% para o total de animais examinados. Houve diferença estatística significativa (p > 0,05) quando comparadas as prevalências encontradas nos dois centros de treinamento, sendo no CT1 de 4,16% e no CT2 de 30%. Não houve associação entre a prevalência e a idade, o sexo e raça (p > 0,05).

This study investigated the occurrence of parasitism by Cryptosporidium spp. in horses housed in two training centers located in Curitiba, Paraná. A total of 108 horses were examined, 48 from the Training Center 1 (CT1) and 60 of the Training Centre 2 (CT2). Collection of stool specimens occurred from October 2010 to January 2011. The methodology used to confirm the presence of Cryptosporidium spp. was the Ziehl-Neelsen modified. The occurrence found was 18.52% for the total animals examined. There was a statistically significant difference (p > 0.05) comparing prevalence rates in the two training centers: 4.16% in CT1 and 30% in CT2. There was no association between prevalence and the age, sex and race (p > 0.05) of the horses.

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O presente trabalho investigou a ocorrência de parasitismo por Cryptoporidium spp. em equinos alojados em dois centros de treinamento de equinos localizados no municipio de Curitiba, Paraná. Foram examinados 108 cavalos, sendo 48 procedentes do Centro de treinamento 1 (CT1) e 60 do Centro de Treinamento 2 (CT2). As coletas de amostras de fezes foram realizadas no período de outubro de 2010 a janeiro de 2011. A metodologia utilizada para a confirmação da presença de oocistos de Cryptosporidium spp. foi a técnica de Ziehl-Neelsen modificada. A ocorrência encontrada foi de 18,52% para o total de animais examinados. Houve diferença estatística significativa (p > 0,05) quando comparadas as prevalências encontradas nos dois centros de treinamento, sendo no CT1 de 4,16% e no CT2 de 30%. Não houve associação entre a prevalência e a idade, o sexo e raça (p > 0,05).(AU)

This study investigated the occurrence of parasitism by Cryptosporidium spp. in horses housed in two training centers located in Curitiba, Paraná. A total of 108 horses were examined, 48 from the Training Center 1 (CT1) and 60 of the Training Centre 2 (CT2). Collection of stool specimens occurred from October 2010 to January 2011. The methodology used to confirm the presence of Cryptosporidium spp. was the Ziehl-Neelsen modified. The occurrence found was 18.52% for the total animals examined. There was a statistically significant difference (p > 0.05) comparing prevalence rates in the two training centers: 4.16% in CT1 and 30% in CT2. There was no association between prevalence and the age, sex and race (p > 0.05) of the horses.(AU)

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INTRODUCTION: The blood meal source of sandflies provides valuable information about the vector/host interaction and allows for an understanding of American cutaneous leishmaniasis (ACL) transmission mechanisms. The aim of this study was to identify the blood meal sources of Lutzomyia (Nyssomyia) intermedia in an endemic area of leishmaniasis in Brazil's State of Paraná using a precipitin test. METHODS: Sandflies were collected in the rural locality of Epitácio Pessoa within the City of Adrianópolis, State of Paraná, in southern Brazil. A total of 864 female sandflies were captured, and 862 (99.8%) were identified as L. intermedia species. However, two unidentified specimens were considered to be part of the genus Lutzomyia. RESULTS: Among the females examined, 396 specimens presented reactions to a certain type of tested antiserum, and most (67.9%) reacted to the simple type. These sandflies fed mainly on the blood of birds, opossums, and rodents, but specimens that fed on the blood of humans, dogs, horses, cattle, and cats were also found. Among the cross-reactions found (32.1%), bird/rodent, bird/opossum, bird/dog, bird/human, and horse/dog cross-reactions were the most common. CONCLUSIONS: These results demonstrate a tendency in the eclectic feeding behavior of L. intermedia and support its potential role as a vector for ACL in the study area.

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Introduction The blood meal source of sandflies provides valuable information about the vector/host interaction and allows for an understanding of American cutaneous leishmaniasis (ACL) transmission mechanisms. The aim of this study was to identify the blood meal sources of Lutzomyia (Nyssomyia) intermedia in an endemic area of leishmaniasis in Brazil's State of Paraná using a precipitin test. Methods Sandflies were collected in the rural locality of Epitácio Pessoa within the City of Adrianópolis, State of Paraná, in southern Brazil. A total of 864 female sandflies were captured, and 862 (99.8%) were identified as L. intermedia species. However, two unidentified specimens were considered to be part of the genus Lutzomyia. Results Among the females examined, 396 specimens presented reactions to a certain type of tested antiserum, and most (67.9%) reacted to the simple type. These sandflies fed mainly on the blood of birds, opossums, and rodents, but specimens that fed on the blood of humans, dogs, horses, cattle, and cats were also found. Among the cross-reactions found (32.1%), bird/rodent, bird/opossum, bird/dog, bird/human, and horse/dog cross-reactions were the most common. Conclusions These results demonstrate a tendency in the eclectic feeding behavior of L. intermedia and support its potential role as a vector for ACL in the study area. .

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O trabalho teve como objetivo determinar a soroprevalência da Leishmaniose Tegumentar Americana (LTA) canina no município de Bela Vista do Paraíso, Paraná, comparar as técnicas de imunofluorescência indireta (IFI) e ensaio imunoenzimático (ELISA) e identificar as espécies de flebotomíneos presentes, possivelmente envolvidas no ciclo do parasito. Amostras de sangue de 489 cães foram submetidas à pesquisa de anticorpos anti-Leishmania sp. pela IFI e ELISA. Foram consideradas positivas as amostras que apresentaram título ≥ 40 na IFI e densidade ótica ≥ 0.174 no ELISA. Entre as amostras analisadas, 222 (45,4%) foram reagentes pela IFI e 189 (38,7%) pelo ELISA. Comparando-se os testes foram encontradas 176 amostras positivas (36,0%) e 254 negativas (51,9%) para ambas as técnicas. A sensibilidade do ELISA foi de 79,3% e a especificidade foi de 95,1%. O coeficiente global do teste foi de 87,0% com coeficiente Kappa de 0,75. A análise das variáveis para cães com sorologia positiva pela IFI demonstrou diferença significativa em relação à ausência de matas e ausência de convívio com outras espécies animais. Em cães sororeagentes pelo ELISA as variáveis que apresentaram diferença significativa foram o tipo de mata ciliar existente no ambiente, a ausência de lixo, o esgoto a céu aberto e lançado diretamente em rios ou córregos e do lixo lançado em terreno baldio, queimado ou enterrado. O resultado obtido com a captura dos flebotomíneos foi a predominância do Lutzomyia whitmani com 79,9% das espécies coletadas. Os resultados demonstraram que a LTA está amplamente disseminada na população canina do município de Bela Vista do Paraíso, e que tanto a IFI como o ELISA podem ser utilizados para o diagnóstico. Deste modo o cão apresenta-se como um elo entre o ciclo silvestre e o peridomiciliar da LTA, podendo tornar-se um sinalizador do agente no ecossistema da doença nesse ecossistema.

The aim of this study was to determine the seroprevalence of Cutaneous Leishmaniasis (CL) in dogs of Bela Vista do Paraiso, Parana state, compare the IFA and ELISA techniques and identify the vectors possibly involved in the cycle of the parasite. Were collected blood samples from 489 dogs that were subjected to detection of anti-Leishmania sp. by IFA and by ELISA. Were considered positive samples ≥40 titers in IFA and for ELISA ≥ 0.174 optical density. Among the samples analyzed, 222 (45.4%) were positive by IFA and 189 (38.7%) by ELISA. Comparing the tests were found 176 positive samples (36.0%) and 254 negative (51.9%) for both techniques. The sensitivity of ELISA was 79.3% and specificity was 95.1%. The global coefficient of the test was 87.0% with kappa coefficient of 0.75. Analysis of variables for dogs with positive serology by IFA showed significant differences regarding the absence of forests and lack of contact with other animal species. Positive sera by ELISA in dogs variables that showed significant differences were the type of riparian vegetation existing in the environment, the lack of garbage, open sewers and released directly into rivers or streams and garbage thrown on wasteland, burned or buried. The result obtained with the capture of sandflies was the predominance of Lutzomyia whitmani with 79.9% of the species collected. The result obtained with the capture of sandflies was the predominance of Lutzomyia whitmani with 79.9% of the species collected. The results showed that the LTA is widespread in the canine population of Bela Vista do Paraiso, and both the IFI and ELISA can be used for diagnosis. So the dog appears as a link between wild and peridomestic cycle of CL may become an amplifier of disease in this ecosystem.

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The aim of the present work was to study the clinical aspects and relevance of molecular diagnosis in late mucocutaneous leishmaniasis patients in Parana, Brazil. Twenty one suspected cases of mucocutaneous leishmaniasis (MCL) in patients from the endemic areas of leishmaniasis were assessed. Different methods used in diagnosing the disease and the polymerase chain reaction (PCR) technique were compared in order to establish the sensitivity of each method. Out of the 21 patients analyzed, 14.3 percent presented other etiologies such as vasculitis, syphilis, and paracoccidioidomycosis, with all tests negative for leishmaniasis. Out of the remaining 15 patients, 6.7 percent cases were confirmed for leishmaniasis by direct examination; 46.67 percent were positive for culture, which allowed isolating and identifying the parasite and - with the PCR technique - it was possible to diagnose 100 percent MCL patients for all the three repetitions of exams. The PCR optimized for the present work proved to be an auxiliary method for diagnosing leishmaniasis applicable in the patients carrying MCL due to Leishmania (Viannia) braziliensis and did not need culture to be performed, resulting in a faster diagnosis.

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We evaluated the effectiveness of serological and parasitological methods for cutaneous leishmaniasis (CL) diagnosis in patients from the central region of Paraná state, southern Brazil. Five groups were compared: clinical diagnosis, parasitological diagnosis, communicants, inhabitants of a non-endemic area and carriers of other etiologies. Two antigens were prepared from promastigotes of Leishmania (Viannia) braziliensis and Leishmania (Leishmania) amazonensis for indirect immunofluorescence assay, ELISA and immunoblotting. The parasitological approaches detected 79.3% of the patients with a clinical diagnosis; the parasites were identified by PCR as L. (V.) braziliensis. Serological methods showed 95% sensitivity for homologous antigens. Immunoblotting revealed specific proteins for diagnosis of CL and detected 96.6% of the patients when L. (V.) braziliensis was used as an antigen, and 83.3% with L. (L.) amazonensis. This study demonstrated the importance of differential diagnosis for leishmaniasis; the association of two or more indirect methods increased diagnosis sensitivity.

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Panstrongylus megistus is an important Chagas Disease vector and is said to be one of the species that might replace Triatoma infestans as the main vector of that disease in Brazil. The different degrees of P. megistus domiciliation in Brazil and its epidemiological relevance draw forth the need for the development of genetic studies that make it possible to analyze and understand the interchange of individual and gene fluxes among different populations. Thus, the present work aimed at studying the genetic variability of P. megistus in the State of Paraná - south of Brazil- and at comparing it with populations of the same species from five other states in Brazil (SP, MG, SC, RS, SE). In order to attain the proposed objective, 25 populations were studied using fifteen isoenzymatic systems (6PGD, G6PD, ME¹, ME², ICD, PGM, GPI, GOT¹, GOT², NP¹, NP², DIA, MPI, F, and MDH). The phenetic analysis allowed the individuation of 22 electromorphs and five zymodemes. The G6PD enzyme was the only polymorphic one presenting four electromorphs for the studied populations, all of them described for the State of Paraná-BR. The P. megistus populations from other states grouped with those from Paraná-BR, evidencing a low genetic variability in that species. Despite the existing geographic barriers, sub-samples - away from one another by at most 570km - were grouped in one and the same zymodeme. The epidemiological implications of such results are discussed in the present work.

Panstrongylus megistus é um importante vetor da Doença de Chagas e é apontado como uma das espécies com potencial para substituir Triatoma infestans como principal vetor desta doença no Brasil. Os diferentes graus de domiciliação por P. megistus - no Brasil - e sua importância epidemiológica evocam a necessidade de estudos com bases genéticas que possibilitem analisar e compreender os intercâmbios de indivíduos e os fluxos gênicos entre as distintas populações. Assim, o presente trabalho tem como objetivo estudar a variabilidade genética de P. megistus no Estado do Paraná e compará-los com populações da mesma espécie de cinco estados do Brasil (SP, MG, SC, RS, SE). Para atingir o objetivo proposto, 25 populações foram estudadas empregando quinze sistemas isoenzimáticos (6PGD, G6PD, ME¹, ME², ICD, PGM, GPI, GOT¹, GOT², NP¹, NP², DIA, MPI, FH e MDH). A análise fenética permitiu a individualização de 22 eletromorfos e quatro zimodemas. A enzima G6PD foi a única polimórfica que apresentou quatro eletromorfos para as populações estudadas, todas descritas para o Estado do Paraná. As populações de P. megistus procedentes dos outros estados agruparam-se com as do Paraná, demonstrando haver baixa variabilidade genética na espécie. Apesar das barreiras geográficas existentes, sub-amostras - distantes entre si por até 570 km - ficaram reunidas num mesmo zimodema. As implicações epidemiológicas destes resultados são discutidas no presente trabalho.

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We evaluated the effectiveness of serological and parasitological methods for cutaneous leishmaniasis (CL) diagnosis in patients from the central region of Paraná state, southern Brazil. Five groups were compared: clinical diagnosis, parasitological diagnosis, communicants, inhabitants of a non-endemic area and carriers of other etiologies. Two antigens were prepared from promastigotes of Leishmania (Viannia) braziliensis and Leishmania (Leishmania) amazonensis for indirect immunofluorescence assay, ELISA and immunoblotting. The parasitological approaches detected 79.3 percent of the patients with a clinical diagnosis; the parasites were identified by PCR as L. (V.) braziliensis. Serological methods showed 95 percent sensitivity for homologous antigens. Immunoblotting revealed specific proteins for diagnosis of CL and detected 96.6 percent of the patients when L. (V.) braziliensis was used as an antigen, and 83.3 percent with L. (L.) amazonensis. This study demonstrated the importance of differential diagnosis for leishmaniasis; the association of two or more indirect methods increased diagnosis sensitivity.

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Casos de leishmaniose tegumentar no norte do estado do Paraná têm sido assinalados desde os anos 50, mas no final dos anos 80, houve um surto epidêmico. Para conhecer o perfil epidemiológico da leishmaniose cutânea na regiäo Norte do Paraná foi feito um levantamento de casos, entre 1993 e 1998. Foram notificados 316 casos da doença em 35 municípios paranaenses. Dezesseis casos eram importados de outros estados e do Paraguai. Os indivíduos do sexo masculino (61,2 por cento), na faixa etária de 15 a 49 anos (70,8 por cento) representaram a maioria dos casos de leishmaniose tegumentar. Sessenta e sete porcento dos pacientes apresentaram lesöes únicas, 31 por cento lesöes múltiplas e 2 por cento lesöes de mucosas. Num total de 367 lesöes analisadas 47,7 por cento estavam localizadas nos membros inferiores, 26,7 por cento nos membros superiores e 16 por cento na face. Trinta e duas cepas de Leishmania isoladas foram identificadas, com base em 13 isoenzimas, como pertencentes à espécie Leishmania (Viannia) braziliensis

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