[leish-l] Re; Leishmania in Antigua

[Arias, Jorge Dr.]

I agree with Bob Killick Kendrick in that there are no official reports
of either sandflies or leishmaniasis from Antigua. If the patients stay
on the island was brief, and it did not include the extra-urban area of
the island, I would pursue more travel history (Yucatan Peninsula?
Cancun, Cozumel, Belize?) even if it was in a previous trip in the last
year. There is a _mexicana_ complex parasite in the Dominican Republic
that causes DCL, but it is not know to cause CL. 
In the event there is something new out there that hasn't come to light
yet, it may be worthwhile to contact Chris Frederickson (CAREC) at
frederch at carec.paho.org to see if he has seen anything new reported. 
Keep us posted, it is interesting.
Good luck,

Jorge R. Arias Ph.D.



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Today's Topics:

   1. Antigua & leishmaniasis (BobKillick-Kendrick)

--__--__--

Message: 1
From: "BobKillick-Kendrick" <killickendrick at wanadoo.fr>
To: <leish-l at fat.org.br>
Date: Thu, 8 Sep 2005 11:48:16 +0200
Subject: [leish-l] Antigua & leishmaniasis

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There is no mention of leishmaniasis in Antigua in the comprehensive =
review by Arias et al. (1996) [Epidemiologia y control de la =
leishmaniasis en las Am=E9ricas, por pais o territorio.OPS, Cuaderno =
T=E9cnico 44]. (Google this to see it on line.) Furthermore, there are =
no records of phlebotomine sand flies on Antigua in the most up-to-date
= book on American phlebotomines [Young & Duncan, 1994.] But this does
not = mean there is no leishmaniasis on Antigua. Probably nobody has
looked = for sand flies there, and L. mexicana might be on the island in
forest = rodents with no human cases yet recorded - as in Trinidad.
Confirmation = of the identity of the parasite seems necessary -
preferably by = isoenzymes(?)=20 Bob Killick-Kendrick
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