Lina María Carrillo

An Epidemic Outbreak of Canine Cutaneous Leishmaniasis in Colombia Caused by Leishmania braziliensis and Leishmania panamensis

The largest recorded outbreak of cutaneous leishmaniasis in Colombias history occurred during 2005-2009 in soldiers of the Colombian Army, with ~40,000 cases. This outbreak was caused by the influx of military personnel into the jungle with the mission of combat illicit crops and the guerrilla. The soldiers remain for long periods within the rainforest and are exposed to the bite of infected sand flies. During the military activities, soldiers work with dogs specially trained to detect landmines, and therefore, dogs are also exposed to the infected sand flies and show high incidence of cutaneous leishmaniasis (CL). This work describes an epidemic outbreak of canine CL caused by Leishmania braziliensis and Leishmania panamensis in Colombia, South America. The clinical features of the disease and the response to treatment with pentavalent antimonials observed in 72 guard dogs from the Colombian Army are described. A program for prevention and control of canine CL is also discussed.

Characterization of West Nile Viruses Isolated from Captive American Flamingoes (Phoenicopterus ruber) in Medellin, Colombia

Serum samples from a total of 71 healthy captive birds belonging to 18 species were collected in July of 2008 in Medellin (Colombia) and tested for flaviviruses. Eighteen of 29 samples from American Flamingoes (Phoenicopterus ruber) were positive for West Nile virus (WNV) by reverse transcription-polymerase chain reaction. Selected positive samples were serially passaged and WNV was confirmed by immunofluorescence. Two isolates (524/08, 9835/08) were characterized in vitro and in vivo. Sequence analysis revealed WNV with 16 nucleotide substitutions resulting in six amino acid changes when compared with the NY99 strain. Colombian (COL) viruses were more closely related to Louisiana isolates from 2001. When compared with attenuated strains isolated from Texas, COL isolates differed in their plaque size and temperature sensitivity phenotype. The COL viruses were pathogenic in embryonated chicken eggs and Balb/c mice.

Cutaneous leishmaniasis in the dorsal skin of hamsters: a useful model for the screening of antileishmanial drugs.

Traditionally, hamsters are experimentally inoculated in the snout or the footpad. However in these sites an ulcer not always occurs, measurement of lesion size is a hard procedure and animals show difficulty to eat, breathe and move because of the lesion. In order to optimize the hamster model for cutaneous leishmaniasis, young adult male and female golden hamsters (Mesocricetus auratus) were injected intradermally at the dorsal skin with 1 to 1.5 x l0(7) promastigotes of Leishmania species and progression of subsequent lesions were evaluated for up to 16 weeks post infection. The golden hamster was selected because it is considered the adequate bio-model to evaluate drugs against Leishmania as they are susceptible to infection by different species. Cutaneous infection of hamsters results in chronic but controlled lesions, and a clinical evolution with signs similar to those observed in humans. Therefore, the establishment of the extent of infection by measuring the size of the lesion according to the area of indurations and ulcers is feasible. This approach has proven its versatility and easy management during inoculation, follow up and characterization of typical lesions (ulcers), application of treatments through different ways and obtaining of clinical samples after different treatments. By using this method the quality of animal life regarding locomotion, search for food and water, play and social activities is also preserved.

New records of phlebotomine sand flies (Diptera: Psychodidae) near the Amoya River in Chaparral, Tolima

INTRODUCTION Mutagens contained in complex mixtures can present synergistic interactions, either additive or antagonistic. Therefore, development of experimental approaches is necessary to elucidate which is the responsible agent for the effect in the mixtures. OBJECTIVE An experimental design was developed that allowed an understanding of the processes between the compounds of complex mixtures. MATERIALS AND METHODS Human lymphocytes were exposed to binary mixtures of the mutagens B[a]P, DMBA, Trp-P-1 and MX for 1 hour with or without S9. Viability was assessed with trypan blue dye and the genotoxicity by the comet assay. RESULTS All of the hydrocarbon showed an effect with furanone. With and without S9, the most toxic interactions were observed between hydrocarbons. Synergistic interaction was observed without S9 between B [a] P and Trp-P-1 and between DMBA and Trp-P-1 with metabolic activity. Without S9 antagonistic interaction was observed only between Trp-P-1+DMBA, and with S9 between Trp-P-1+MX and MX+DMBA. It observed an increase dose dependent in tail length. Half the cultures showed genotoxic damage and increased cell damage. For each mixture, minimum concentrations were determined at which adverse effects are observed; for some only the maximum concentration was determined at which no adverse effects are observed. CONCLUSION The processes between mutagens present in a mixture have become better understood, and the results validated an analytical model that determined which component had an effect on another. The results also showed that the type of compounds in the mixture determined whether or not a risk threshold was present.INTRODUCTION In Colombia, the diversity of phlebotomine sand flies is high, with 162 recorded species, and which include vectors of Leishmania spp. OBJECTIVE To identify the sand fly species of medically importance in the area of influence from Amoyá River Hydroelectric Project, Colombia. MATERIALS AND METHODS Sand flies were collected with CDC light traps, Shannon traps and sticky traps, from 15 villages in Chaparral County,Tolima. RESULTS A total of 1,077 adult sand fly specimens were collected. Thirteen species were found in the genus Lutzomyiaand one species in the genus Warileya.Among the Lutzomyia species, three species--Lutzomyia longiflocosa, Lutzomyia columbiana and Lutzomyia nuneztovari--are important for their epidemiological history.Lutzomyia suapiensis was a new record for Colombia, and Warileya rotundipennis was recorded for the first time in Tolima. CONCLUSIONS This study contributed to an increased knowledge of Colombian sand flies in terms of (1) expanding the geographical distribution of members of the subfamily Phlebotominae, (2) gaining estimates of species-richness and species associations in central Colombia, and (3) providing a better understanding of epidemiology of leishmaniasis in the Chaparral area.

Trece registros nuevos de Lutzomyia (Diptera: Psychodidae) para el departamento de Vichada, Orinoquia Colombiana

Lutzomyia trinidadensis (Newstead, 1922), L. bettinii Feliciangeli, Ramirez-Perez & Ramirez, 1988, L. flaviscutellata (Mangabeira, 1942), L. yuilli Young & Porter, 1972, L. saulensis (Floch & Abonnenc, 1944), L. runoides (Fairchild & Hertig, 1953), L. ayrozai (Barretto & Coutinho, 1940), L. claustrei Abonnenc, Leger & Fauran, 1979, L. walkeri (Newstead, 1914), L. preclara Young & Arias, 1984, L. (geniculata) sp., L. (squamiventris) sp., and L. (Evandromyia) sp., are recorded for the first time in the department of Vichada, Colombia. In addition, the presence of L. antunesi (Coutinho, 1939) and L. aragaoi (Costa Lima, 1932) in this department is confirmed. Sand flies were collected in the municipalities of Puerto Carreno, Cumaribo, and La Primavera, using CDC light traps, Shannon trap, and human bait, and by active search in resting places. The epidemiological importance of these sand fly species is discussed in relation with the cutaneous leishmaniasis.

Application of the Eco-Epidemiological Method in the Study of Leishmaniasis Transmission Foci

The study of transmission foci involves the clinical characterization of disease within a focus using active surveillance of human cases, characterization of the population group that is most frequently infected or at highest risk of becoming infected, diagnosis and treatment of infected people and identification of the conceptions, attitudes, beliefs and practices related to the disease. An entomological survey is necessary to determine the geographical distribution of species and incrimination of vector species, the ecological characteristics of the zone (macro-focus), times of the year and day of highest biting activity and places in homes in which the most frequent contact between the people and the vectors occurs. A survey of peri-domestic and wild mammals in the area is advisable to try to identify potential reservoir hosts. Using this information, it is feasible to design specific and accurate prevention and effective, rational and economic control measures and define the times of the year and locations in which these measures must be applied. In this chapter, a description of the application of the eco-epidemiological method to the study of leishmaniasis transmission foci is provided. A special emphasis is placed on the methodology, multidisciplinary work and analysis of findings.

Primer informe de Lutzomyia yuilli Young & Porter, 1972 y Lutzomyia triramula (Fairchild & Hertig 1952) (Diptera: Psychodidae) en el departamento de Caldas, Colombia

Nine species of Lutzomyia were collected during the research of various cutaneous leishmaniasis foci in the department of Caldas, Colombia: Lutzomyia gomezi (Nitzulescu, 1931), Lu. ayrozai (Barretto & Coutinho 1940), Lu. panamensis (Shannon 1926), Lu. bifoliata Osorno, Morales, Osorno & Hoyos, 1970, Lu. trapidoi (Fairchild & Hertig 1952), Lu. yuilli Young & Porter, 1972, Lu. triramula (Fairchild & Hertig 1952), Lu. atroclavata (Knab 1913), and Lu. trinidadensis (Newstead 1922). Two of these species constitute a new record for the department, Lu. yuilli of the subgenus Nyssomyia, and Lu. triramula of the subgenus Trichopygomyia. The specimens of Lu. yuilli were collected using Shannon and CDC light traps in the municipality of Norcasia, while the specimens of Lu. triramula were collected using light and sticky traps in both Norcasia and Victoria municipalities. The importance of this finding, taking into account the limited distribution of Lu. triramula in the Colombian territory and the vector capacity of Lu. yuilli is considered.