Seventeen years of American cutaneous leishmaniasis in a Southern Brazilian municipality

Abstract

SUMMARYWe reviewed the records of 151 patients diagnosed with American cutaneous leishmaniasis (ACL) from 1993 to 2009 in the municipality of Japura, Paraná, Brazil. Gender, age, occupation, place of residence, location of lesions, type and number of lesions were analyzed. The prevalence rate of ACL was 11.5/10,000 hab, of which 84.7% were male, 58.3% lived in rural area and 49.0% were farmers. The most frequent age group was between 30 to 39 years (26.6%). Skin lesions occurred in 92.7% of the patients with predominance in the lower limbs (23.9%) and 49.1% of the records did not include the number of lesions location due to incomplete filling. A single ulceration was present in 44.4%. Japurá is an endemic area for ACL, requiring public actions and preventive education.

A fourteen-year retrospective of clinic-epidemiological aspects of cutaneous and visceral leishmaniasis in Uberlândia, Minas Gerais, Brazil

“…The affected age (23-60 years) corresponds to the economically active population, which is mostly constituted by rural workers who are more exposed to the vectors during their daily activities. This finding is not a peculiarity of our study and confirms data previously reported in several studies in different locations (JONES et al, 1987;TOLEZANO, 1994;MARTINS et al, 2004;CURTI et al, 2009;CELLA et al, 2012;JIMANUS et al, 2012). Considering clinical aspects of CL e ML (Table 2), lesions showed up single in 29 CL patients and multiple in 26.…”

“…From the CL analysis, 70 anatomical regions were reported because, in some cases, lesions were disseminated over the patient's body. Most cases of CL affected lower limbs, followed by the head, upper limbs and trunk, similar to what has been observed by another researchers (CASTRO et al, 2002;OLIVEIRA et al, 2004;MURBACK et al, 2011;CELLA et al, 2012). In ML, the nasal mucosal was the main anatomical region affected (56%).…”

“…In ML, the lesions were shown up single in 31 patients and multiple in 18. This trend to a lower number of lesions per patient with a high frequency of single lesions, has already been seen by other authors (NAME et al, 2005;SKRABA et al, 2006;MURBACK et al, 2011;CELLA et al, 2012). By checking the time evolution of the lesions at the medical records, it was appointed that most of them presented more than 60 days (28 cases for CL and 24 cases for ML) and that a large number of cases did not inform the time evolution (Table 2).…”

“…The failure of this procedure implies a lack of resources for the institution, what could make worse the already precarious financial conditions of public hospitals (DAMASCENO, 2006). Out of 168 cases, patients aged 23-60 years were the most affected in all types of leishmaniasis and the sex ratio was 3.42 (male:female); for each type of leishmaniasis, male were primarily affected, similarly to other investigations (MONTEIRO et al, 2009;CELLA et al, 2012). Regarding the individual's occupation, 44 were rural workers (especially in agriculture and mining), 33 were children and retired, 10 were domestic workers, 9 were students, 44 were patients who performed various activities (general services, mechanics, driving, masonry, commerce, banking and others) and 26 did not inform (Table 1).…”

Perfil da leishmaniose cutânea americana na Amazônia Sul-Ocidental brasileira: uma abordagem multivariada

“…O G2b caracterizou-se também por índices entre populações com idade de 40 a 60 anos, residentes na área urbana e com ocupações relacionadas a ambientes urbanos, sugerindo o ciclo de transmissão relacionado a atividades de lazer como caça, pesca e acampamento. 3,18 Essa exposição ocorre também, em virtude do constante deslocamento dos moradores entre os núcleos urbanos e localidades rurais, como o encontrado por no município de Acrelândia. 19 O grupo G2c apresenta características intermediárias entre os conjuntos G2a e G2b, cujos indivíduos têm ocupação relacionada ao ambiente agropecuário e urbano, idades entre 20 e 60 anos, com destaque para o maior índice entre pessoas acima de 60 anos.…”