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Gene Reports
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Prevalence of cutaneous leishmaniasis in different regions of Larestan and its
relationship with public health condition during 2014–2015
Aliyar Pirouzi
a
, Hossein Forouzandeh
a,b
, Amir Raoofi
c
, Iraj Ahmadi
d
, Rahman Abdizadeh
e
,
Elmira Zarei
a
, Razieh Hoseini Farrash
f,g
, Azad Khaledi
h,i,
⁎
a
Cellular and Molecular Research Center, Gerash University of Medical Sciences, Gerash, Iran
b
Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Shiraz, Iran
c
Cellular and Molecular Research Center, Sabzavar University of Medical Sciences, Sabzevar, Iran
d
Physiology Department, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran
e
Department of Medical Parasitology and Mycology, Faculty of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran
f
Cutaneous Leishmaniasis Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
g
Departments of Parasitology and Mycology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
h
Infectious Diseases Research Center, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran
i
Department of Microbiology and Immunology, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran
ARTICLE INFO
Keywords:
Cutaneous leishmaniasis
Leishmaniasis
Prevalence
ABSTRACT
This study aimed to investigate the prevalence of cutaneous leishmaniasis in different regions of Larestan and its
relationship with public health condition during 2014–2015.
This descriptive cross-sectional study was conducted on 223 positive cases during 2014–2015 in Larestan
region, in southern Fars province, Iran. The samples were taken from lesion exudates caused by mosquito bites.
The parasite was distinguished by Giemsa staining. Presence of Leishman bodies or Amastigotes form indicates
the positivity of the case. The included patients were studied in terms of nationality, age, sex, involved organ,
number of lesions, parasites sources, type of building, and Patients' place of residence. Data analyzed using SPSS
software through Fisher's exact and t-student tests.
About 95% of the positive cases were Iranian patients, and the remaining were Afghans. And 51% of patients
were female. Individuals younger than 9 years old had the most infection cases (55%). A significant correlation
was found between age and leishmaniasis. Also, 81% of the diseases were related to urban leishmaniasis. Hands
were the most common organs involved with a frequency 39%.
It was found that the age group1–9-year-old has contained the most level of infected cases to cutaneous
leishmaniasis.
1. Introduction
Leishmaniasis is a parasitic disease that appears in various forms
including cutaneous (cutaneous leishmaniasis), mucocutaneous, diffuse
cutaneous and visceral (visceral leishmaniasis (VL) known as kala-azar)
(Alvar et al., 2012). Cutaneous leishmaniasis is a chronic disease that
shows itself as a painless lesion in some areas of the body, particularly,
on the face. The carrier of the disease is an infected sand fly that infects
a person by body biting (Murray et al., 2005).
At least 20 different species of the genus Leishmania parasite can be
transmitted by sandflies (Desjeux, 2004; Alvar et al., 2012). Two types
of cutaneous leishmaniasis have found up to now. In urban leishma-
niasis that is also known as dry leishmaniasis, its sources are dogs and
human and it lasts usually about a year (Desjeux, 2004; Khaledi et al.,
2016). While, urban leishmaniasis creates deep spots in the site that
lesion is formed, but, it heals spontaneously. In rural type leishmaniasis
which is also called as wet leishmaniasis, the mouse is the source of the
disease and the lesion that caused by it remains several weeks to
6 months and lasts for a maximum period of 18 months. Although the
leishmaniasis is common in all seasons of the year but is most common
in the autumn (Soto et al., 2004; Reithinger et al., 2007).
The Known centers of the world with leishmaniasis almost all are
https://doi.org/10.1016/j.genrep.2019.100530
Received 18 September 2019; Received in revised form 28 September 2019; Accepted 30 September 2019
Abbreviations: VL, Visceral leishmaniasis; WHO, World Health Organization
⁎
Corresponding author at: Department of Microbiology and Immunology, School of Medicine, Kashan University of Medical Sciences, 5th of Qotb-e Ravandi Blvd.,
P.O. Box: 87155.111, 87154 Kashan, Iran.
E-mail address: azadkh99@gmail.com (A. Khaledi).
Gene Reports 17 (2019) 100530
2452-0144/ © 2019 Elsevier Inc. All rights reserved.
T