American tegumentary leishmaniasis: direct species identification of Leishmania in non-invasive clinical samples

Trans R Soc Trop Med Hyg. 2007 Apr;101(4):368-71. doi: 10.1016/j.trstmh.2006.06.009. Epub 2006 Sep 29.

Abstract

Species identification is highly relevant for improved prognosis and adequate treatment of American tegumentary leishmaniasis (ATL). PCR-based methods are available for this purpose but should be simplified to improve accessibility. As a first step in this process, this paper describes a simplified protocol for collection of clinical samples. Using samples from 44 Bolivian patients with confirmed ATL, we demonstrated that hsp70 PCR-RFLP on skin scrapings collected with a tooth pick allowed identification of the parasite species with a sensitivity of 95% and specificity of 100%. Our method should greatly facilitate individual patient management and epidemiological surveillance of ATL.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • DNA, Protozoan / genetics
  • HSP70 Heat-Shock Proteins / genetics
  • Humans
  • Leishmania / classification*
  • Leishmania / genetics
  • Leishmania / isolation & purification
  • Leishmaniasis, Cutaneous / parasitology*
  • Polymerase Chain Reaction / methods
  • Polymorphism, Restriction Fragment Length
  • Protozoan Proteins / genetics
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Skin / parasitology
  • Specimen Handling / methods

Substances

  • DNA, Protozoan
  • HSP70 Heat-Shock Proteins
  • Protozoan Proteins