Variation in Clinical Presentation and Genotype of Causative Leishmania major Strain in Cutaneous Leishmaniasis in North and South Afghanistan

Pieter-Paul A. M. van Thiel Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS and Center for Infection and Immunity, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Netherlands Ministry of Defence, The Hague, The Netherlands; Department of Medical Microbiology, Section of Parasitology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

Search for other papers by Pieter-Paul A. M. van Thiel in
Current site
Google Scholar
PubMed
Close
,
Tom van Gool Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS and Center for Infection and Immunity, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Netherlands Ministry of Defence, The Hague, The Netherlands; Department of Medical Microbiology, Section of Parasitology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

Search for other papers by Tom van Gool in
Current site
Google Scholar
PubMed
Close
,
William R. Faber Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS and Center for Infection and Immunity, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Netherlands Ministry of Defence, The Hague, The Netherlands; Department of Medical Microbiology, Section of Parasitology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

Search for other papers by William R. Faber in
Current site
Google Scholar
PubMed
Close
,
Tjalling Leenstra Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS and Center for Infection and Immunity, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Netherlands Ministry of Defence, The Hague, The Netherlands; Department of Medical Microbiology, Section of Parasitology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

Search for other papers by Tjalling Leenstra in
Current site
Google Scholar
PubMed
Close
,
Piet A. Kager Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS and Center for Infection and Immunity, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Netherlands Ministry of Defence, The Hague, The Netherlands; Department of Medical Microbiology, Section of Parasitology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

Search for other papers by Piet A. Kager in
Current site
Google Scholar
PubMed
Close
, and
Aldert Bart Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS and Center for Infection and Immunity, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Netherlands Ministry of Defence, The Hague, The Netherlands; Department of Medical Microbiology, Section of Parasitology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

Search for other papers by Aldert Bart in
Current site
Google Scholar
PubMed
Close
Restricted access

A different clinical picture and therapeutic response were observed when data from Leishmania major-infected Dutch military personnel stationed in southern (N = 8) and northern (N = 169) Afghanistan were analyzed. Clinical presentation of cutaneous leishmaniasis in personnel in the south was milder and seemed to respond better to antileishmanial treatment; molecular analyses of parasite isolates seem to indicate that these differences may be genetic.

Author Notes

*Address for correspondence: Pieter-Paul A. M. van Thiel, Department of Infectious Diseases, Tropical Medicine and Aids, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands. E-mail: p.p.vanthiel@amc.uva.nl

Authors' addresses: Pieter-Paul A. M. van Thiel and Tjalling Leenstra, Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS and Center for Infection and Immunity, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands and Netherlands Ministry of Defence, The Hague, The Netherlands, E-mails: p.p.vanthiel@amc.uva.nl. and t.leenstra@mindef.nl. Piet A. Kager, Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS and Center for Infection and Immunity, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands, E-mail: p.a.kager@amc.uva.nl. Aldert Bart and Tom van Gool, Department of Medical Microbiology, Section of Parasitology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands, E-mails: a.bart@amc.uva.nl and t.vangool@amc.uva.nl. William R. Faber, Department of Dermatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands, E-mail: w.r.faber@amc.uva.nl.

  • 1.

    van Thiel PPAM, Leenstra T, de Vries HJ, van der Sluis A, van Gool T, Krull AC, van Vugt M, de Vries PJ, Zeegelaar JE, Bart A, van der Meide WF, Schallig HDFH, Faber WR, Kager PA, 2010. Cutaneous leishmaniasis (Leishmania major Infection) in Dutch troops deployed in Nothern Afghanistan: epidemilogy, clinical aspects, and treatment. Am J Trop Med Hyg 83: 1294–1300.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Reithinger R, Dujardin JC, Louzir H, Pirmez C, Alexander B, Brooker S, 2007. Cutaneous leishmaniasis. Lancet Infect Dis 7: 581–596.

  • 3.

    Marfurt J, Nassereddin A, Niederweiser I, Jaffe CL, Beck HP, Felger I, 2003. Identification and differentiation of Leishmania species in clinical samples by PCR amplification of the miniexon sequence and subsequent restriction fragment length polymorphism analysis. J Clin Microbiol 41: 3147–3153.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Elfari M, Schnur LF, Strelkova MV, Eisenberger CL, Jacobson RL, Greenblatt CL, Presber W, Schönian G, 2005. Genetic and biological diversity among populations of Leishmania major from Central Asia, the Middle East and Africa. Microbes Infect 7: 93–103.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Tamura K, Dudley J, Nei M, Kumar S, 2007. MEGA4: molecular Evolutionary Genetics Analysis (MEGA) software version 4.0. Mol Biol Evol 24: 1596–1599.

  • 6.

    Rioux JA, Lanotte G, Serres E, Pratlong F, Bastien P, Perieres J, 1990. Taxonomy of Leishmania. Use of isoenzymes. Suggestions for a new classification. Ann Parasitol Hum Comp 65: 111–125.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    van Thiel PPAM, Leenstra T, Kager PA, de Vries HJ, van Vugt M, van der Meide WF, Bart A, Zeegelaar JE, van der Sluis AJ, Schallig HDFH, van Gool T, Faber WR, de Vries PJ, 2010. Miltefosine treatment of Leishmania major infection: an observational study involving Dutch military personnel returning from northern Afghanistan. Clin Infect Dis 50: 80–83.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Tashakori M, Kuhls K, Al-Jawabreh A, Mauricio IL, Schönian G, Farajnia S, Alimohammadian MH, 2006. Leishmania major: genetic heterogeneity of Iranian isolates by single-strand conformation polymorphism and sequence analysis of ribosomal DNA internal transcribed spacer. Acta Trop 98: 52–58.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Al-Jawabreh A, Diezmann S, Müller M, Wirth T, Schnur LF, Strelkova MV, Kovalenko DA, Razakov SA, Schwenkenbecher J, Kuhls K, Schönian G, 2008. Identification of geographically distributed sub-populations of Leishmania (Leishmania) major by microsatellite analysis. BMC Evol Biol 8: 183.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Schönian G, Mauricio I, Gramiccia M, Cañavate C, Boelaert M, Dujardin JC, 2008. Leishmanasis in the Mediterranean in the era of molecular epidemiology. Trends Parasitol 24: 135–142.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Reithinger R, Dujardin JC, 2007. Molecular diagnosis of leishmaniasis: current status and future applications. J Clin Microbiol 45: 21–25.

  • 12.

    Lynn MA, McMaster WR, 2008. Leishmania: conserved evolution-diverse disease. Trends Parasitol 24: 103–105.

  • 13.

    Pratlong F, Dereure J, Ravel C, Lami P, Balard Y, Serres G, Lanotte G, Rioux JA, Dedet JP, 2009. Geographical distribution and epidemiological features of Old World cutaneous leishmaniasis foci, based on the isoenzyme analysis of 1048 strains. Trop Med Int Health 14: 1071–1085.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Schönian G, Kuhls K, Mauricio IL, 2010. Molecular approaches for a better understanding of the epidemiology and population genetics of Leishmania. Parasitology 16: 1–21.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Kuhls K, Chicharro C, Cañavate C, Cortes S, Campino L, Haralambous C, Soteriadou K, Pratlong F, Dedet JP, Mauricio I, Miles M, Schaar M, Ochsenreither S, Radtke OA, Schönian G, 2008. Differentiation and gene flow among European populations of Leishmania infantum MON-1. PLoS Negl Trop Dis 2: e261.

    • PubMed
    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 234 209 12
Full Text Views 236 10 0
PDF Downloads 42 9 0
 
 
 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save