[leish-l] Leishmania in Antigua? The final chapter?

[R.W.Ashford]

Dear all,

Another snippet:  Leish has been reported twice from Papua New Guinea. 
Both times, the person reporting it was a visitor, and both times they were 
confusing donovanosis (Donovan bodies of(lymphogranuloma inguinale) with 
leishman-donovan bodies.  Whatever happened to those cases reported from 
East Timor?  Is anyone collecting these errors?

Dick A.

--On 23 September 2005 08:45 -0300 Carlos Brisola Marcondes 
<cbrisola at mbox1.ufsc.br> wrote:

> Dear all,
> I would like to remember the "visceral leishmaniasis" in dogs in Rio
> Grande do Sul.
>    People from Federal University of Santa Maria, in the centre of the
> most southern state of Brazil, published a paper in a local scientific
> journal, saying they had found five dogs with visceral leishmaniasis in
> that municipality (another paper showed some Cavia with a big Leishmania).
>    After an effort of six months, I got the car, the material and the
> colaboration of several colleagues and I went there to examine dogs. All
> examined 203 dogs, many of them related to the "positive" dogs, were
> serollogically negative. We concluded that there was some mistake, or VL
> is extremely rare in dogs of the region.
>    Please, check in "Marcondes, C. B. et al. 2003 Revista da Sociedade
> Brasileira de Medicina Tropical, 36(4):399-401 (in Portuguese, abstract
> in English)".
>
> Sincerely yours
> prof. dr. Carlos Brisola Marcondes
> Depto de Microbiologia e Parasitologia/CCB
> UFSC- Campus Trindade
> 88040-900 Florianópolis (SC)
> BRAZIL
>
>
> ----- Original Message ----- From: "Davidson, Robert N"
> <r.n.davidson at imperial.ac.uk>
> To: "Antonio Teixeira" <ateixeir at unb.br>; "Richard Ashford"
> <ashford at liverpool.ac.uk>; "Arias, Jorge Dr."
> <Jorge.Arias at fairfaxcounty.gov>; <leish-l at fat.org.br>
> Sent: Thursday, September 22, 2005 4:21 AM
> Subject: [leish-l] Leishmania in Antigua? The final chapter?
>
>
> Dear All,
> Just to update you on this mystery case:
> 1. The lesions when swabbed grew Staph aureus, and as I thought
> clinically that these were bacterial lesions (impetigo-like), not CL, I
> recommended antibiotics/ topical antiseptics. The responsible clinician
> (who was hundreds of miles away from me) was initially unconvinced by my
> suggestion, but soon became convinced by the expert opinion of this
> forum, that L mexicana was very very unlikely. They tried my treatment,
> and the lesions have all gone. Let's hope they stay gone. So this is an
> excellent example of how electronic comms can help a person none of us
> have ever met.
> 2. The biopsy on which the reference lab in saw amastigotes has been
> reviewed and the amastigotes have not been seen again. I have not been
> shown the slides, but I just wonder whether they may have been looking
> at Gram positive cocci. I can't explain the PCR being positive for L
> mexicana complex, except by suggesting lab error. The lab had no other
> cases of L mexicana around that time.
> 3. For interest, I attach some pictures of the skin lesions - I have
> never seen the patient, these were emailed to me.
> All the best, and many thanks for your assistance, I hope you had as
> much fun as I did.
> Rob
> Dr Robert N Davidson MD  FRCP DTM&H
> Dept Infection & Tropical Medicine
> Lister Unit, Northwick Park Hospital,
> Harrow,  Middlesex HA1 3UJ
> Phone (direct) ++ 44 208 869 2830
> Mobile 07881955264
> Secretary ++ 44 208 869 2833
> FAX   ++ 44 208 869 2836
>
>