title: [Study on the transmission of American cutaneous leishmaniasis in the Federal District].
abstract: The objectives of this study were to characterize cutaneous leishmaniasis in patients from the Federal District, investigate subclinical infection in people living in the same localities as patients and identify the species of Phlebotomus and Leishmania. Patients attended at the University Hospital of Brasília between August 2006 and June 2007 were selected. Relatives and neighbors of the patients underwent the Montenegro intradermal test and indirect immunofluorescence. Phlebotomines were caught at the localities where the patients came from and their species were identified. The species of Leishmania in the patients were also identified. Ten autochthonous cases of cutaneous leishmaniasis were recorded. The intradermal test was done on 32 local residents and 71.8% were positive. Immunofluorescence was performed on 37 individuals and all of them were negative. Lutzomyia whitmani was caught, including in domestic/peridomestic areas, along with Lutzomyia flaviscutellata. The percentage of positive Montenegro intradermal tests suggests that the local residents had subclinical infection. Capture of the vector Lutzomyia whitmani in domestic/peridomestic areas suggests that domestic/peridomestic transmission was occurring.
authors.affiliation: Laboratório de Dermatomicologia, Faculdade de Medicina, Universidade de Brasília, Brasília, DF. rsampaio@unb.br
authors.forename: Raimunda Nonata Ribeiro
authors.initials: RN
authors.lastname: Sampaio
authors.forename: Marianne de Castro
authors.initials: Mde C
authors.lastname: Gonçalves
authors.forename: Viviane Alves
authors.initials: VA
authors.lastname: Leite
authors.forename: Bruna Valle
authors.initials: BV
authors.lastname: França
authors.forename: Gilcilene
authors.initials: G
authors.lastname: Santos
authors.forename: Maria do Socorro Laurentino
authors.initials: Mdo S
authors.lastname: Carvalho
authors.forename: Pedro Luiz
authors.initials: PL
authors.lastname: Tauil
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D001938:Brazil; D002648:Child; D005260:Female; D019084:Fluorescent Antibody Technique, Indirect; D006801:Humans; D007303:Insect Vectors / Q000145:classification / Q000502:physiology*; D007428:Intradermal Tests; D016773:Leishmaniasis, Cutaneous / Q000175:diagnosis / Q000635:transmission*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011576:Psychodidae / Q000145:classification / Q000502:physiology*; D055815:Young Adult