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LEPROSY SURVEY AMONG RURAL COMMUNITIES AND WILD ARMADILLOS FROM AMAZONAS STATE, NORTHERN BRAZIL
Mycobacterium leprae
Hanseníase
Doenças Transmissíveis
Zoonoses
População Rural
Tatu
Author
Stefani, Mariane Martins Araújo
Rosa, Patricia Sammarco
Costa, Mauricio Barcelos
Schetinni, Antônio Pedro Mendes
Manhães, Igor
Pontes, Maria Araci de Andrade
Costa, Patricia
Fachin, Luciana Raquel Vincenzi
Baptista, Ida Maria Foschiani Dias
Virmond, Marcos da Cunha Lopes
Pereira, Emília
Penna, Maria Lucia Fernandes
Penna, Gerson Oliveira
Rosa, Patricia Sammarco
Costa, Mauricio Barcelos
Schetinni, Antônio Pedro Mendes
Manhães, Igor
Pontes, Maria Araci de Andrade
Costa, Patricia
Fachin, Luciana Raquel Vincenzi
Baptista, Ida Maria Foschiani Dias
Virmond, Marcos da Cunha Lopes
Pereira, Emília
Penna, Maria Lucia Fernandes
Penna, Gerson Oliveira
Affilliation
Universidade Federal de Goiás. Instituto de Patologia Tropical e Saúde Pública. Goiânia, GO, Brasil.
Instituto Lauro de Souza Lima. Bauru, SP, Brasil.
Universidade Federal de Goiás. Faculdade de Medicina. Goiânia, GO, Brasil.
Fundação de Dermatologia Tropical e Venerologia Alfredo da Matta. Manaus, AM, Brasil.
Universidade Federal do Rio de Janeiro. Departamento de Dermatologia. Rio de Janeiro, RJ, Brasil.
Centro de Dermatologia Dona Libânia, Fortaleza, CE, Brasil.
Governo Municipal Coari. Secretaria Municipal de Saúde. Coari, AM, Brasil.
Instituto Lauro de Souza Lima Bauru. São Paulo, SP, Brasil.
Instituto Lauro de Souza Lima Bauru. São Paulo, SP, Brasil.
Instituto Lauro de Souza Lima Bauru. São Paulo, SP, Brasil.
Fundação de Dermatologia Tropical e Venerologia Alfredo da Matta. Manaus, AM, Brasil.
Universidade Federal Fluminense. Departamento de Epidemiologia e Estatística. Niterói, RJ, Brasil.
Universidade de Brasília. Faculdade de Medicina. Núcleo de Medicina Tropical. Brasília, DF, Brasil.
Instituto Lauro de Souza Lima. Bauru, SP, Brasil.
Universidade Federal de Goiás. Faculdade de Medicina. Goiânia, GO, Brasil.
Fundação de Dermatologia Tropical e Venerologia Alfredo da Matta. Manaus, AM, Brasil.
Universidade Federal do Rio de Janeiro. Departamento de Dermatologia. Rio de Janeiro, RJ, Brasil.
Centro de Dermatologia Dona Libânia, Fortaleza, CE, Brasil.
Governo Municipal Coari. Secretaria Municipal de Saúde. Coari, AM, Brasil.
Instituto Lauro de Souza Lima Bauru. São Paulo, SP, Brasil.
Instituto Lauro de Souza Lima Bauru. São Paulo, SP, Brasil.
Instituto Lauro de Souza Lima Bauru. São Paulo, SP, Brasil.
Fundação de Dermatologia Tropical e Venerologia Alfredo da Matta. Manaus, AM, Brasil.
Universidade Federal Fluminense. Departamento de Epidemiologia e Estatística. Niterói, RJ, Brasil.
Universidade de Brasília. Faculdade de Medicina. Núcleo de Medicina Tropical. Brasília, DF, Brasil.
Abstract
There is evidence that in southern US, leprosy is a zoonosis infecting wild Dasypus novemcinctus armadillos but the extent of this finding is unknown. This ecological study investigated leprosy in rural communities and in wild armadillos from the Brazilian Amazon. The study area was the Mamiá Lake of Coari municipality, Amazonas State, Northern region, a hyper endemic leprosy area where residents live on subsistence farming, fishing and armadillo hunting and its meat intake are frequent. The leprosy survey was conducted in sixteen communities by a visiting team of specialists. Local partakers provided wild armadillos to investigate M. leprae infection. Volunteers had complete dermato-neurological examination by a dermatologist with expertise in leprosy diagnosis, suspect skin lesions were biopsied for histopathology (Hematoxylin-eosin/HE, Fite-Faraco/FF staining); slit skin smears were collected. Armadillos' tissue fragments (skins, spleens, livers, lymph nodes, adrenal glands, others) were prepared for histopathology (HE/FF) and for M. leprae repetitive element-RLEP-qPCR. Among 176 volunteers, six new indeterminate leprosy cases were identified (incidence = 3.4%). Suspect skin sections and slit skin smears were negative for bacilli. Twelve wild D. novemcinctus were investigated (48 specimens/96 slides) and histopathological features of M. leprae infection were not found, except for one skin presenting unspecific inflammatory infiltrate suggestive of indeterminate leprosy. Possible traumatic neuroma, granuloma with epithelioid and Langhans cells, foreign-body granuloma were also identified. Granulomatous/non-granulomatous dermatitides were periodic-acid-Schiff/PAS negative for fungus. M. leprae-RLEP-qPCR was negative in all armadillos' tissues; no bacillus was found in histopathology. Our survey in rural communities confirmed the high endemicity for leprosy while one armadillo was compatible with paucibacillary M. leprae infection. At least in the highly endemic rural area of Coari, in the Brazilian Amazon region where infectious sources from untreated multibacillary leprosy are abundant, M. leprae infected armadillos may not represent a major source of infection nor a significant public health concern.
DeCS
DermatopatiasMycobacterium leprae
Hanseníase
Doenças Transmissíveis
Zoonoses
População Rural
Tatu
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