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Genotypic and phylogenic analyses of cutaneous leishmaniasis in Al Ahsa, Eastern Saudi Arabia during the coronavirus disease 2019 pandemic: First cases of Leishmania tropica with the predominance of Leishmania major
by
Al-Rashed, Abdullatif S.
, Al Jindan, Reem
, Al Jaroodi, Salma
, Al Mohanna, Ahmed
, El-Badry, Ayman A.
, Abdelhady, Ahmed
in
631/326
/ 692/700
/ Biopsy
/ Coronaviruses
/ COVID-19
/ Cutaneous leishmaniasis
/ Disease transmission
/ Gene polymorphism
/ Humanities and Social Sciences
/ Leishmania
/ Leishmania major
/ Leishmania tropica
/ multidisciplinary
/ Pandemics
/ Parasitic diseases
/ Patients
/ Phylogeny
/ Polymerase chain reaction
/ Restriction fragment length polymorphism
/ Science
/ Science (multidisciplinary)
/ Skin diseases
/ Skin lesions
/ Speciation
/ Vector-borne diseases
/ Vectors
2022
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Genotypic and phylogenic analyses of cutaneous leishmaniasis in Al Ahsa, Eastern Saudi Arabia during the coronavirus disease 2019 pandemic: First cases of Leishmania tropica with the predominance of Leishmania major
by
Al-Rashed, Abdullatif S.
, Al Jindan, Reem
, Al Jaroodi, Salma
, Al Mohanna, Ahmed
, El-Badry, Ayman A.
, Abdelhady, Ahmed
in
631/326
/ 692/700
/ Biopsy
/ Coronaviruses
/ COVID-19
/ Cutaneous leishmaniasis
/ Disease transmission
/ Gene polymorphism
/ Humanities and Social Sciences
/ Leishmania
/ Leishmania major
/ Leishmania tropica
/ multidisciplinary
/ Pandemics
/ Parasitic diseases
/ Patients
/ Phylogeny
/ Polymerase chain reaction
/ Restriction fragment length polymorphism
/ Science
/ Science (multidisciplinary)
/ Skin diseases
/ Skin lesions
/ Speciation
/ Vector-borne diseases
/ Vectors
2022
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Genotypic and phylogenic analyses of cutaneous leishmaniasis in Al Ahsa, Eastern Saudi Arabia during the coronavirus disease 2019 pandemic: First cases of Leishmania tropica with the predominance of Leishmania major
by
Al-Rashed, Abdullatif S.
, Al Jindan, Reem
, Al Jaroodi, Salma
, Al Mohanna, Ahmed
, El-Badry, Ayman A.
, Abdelhady, Ahmed
in
631/326
/ 692/700
/ Biopsy
/ Coronaviruses
/ COVID-19
/ Cutaneous leishmaniasis
/ Disease transmission
/ Gene polymorphism
/ Humanities and Social Sciences
/ Leishmania
/ Leishmania major
/ Leishmania tropica
/ multidisciplinary
/ Pandemics
/ Parasitic diseases
/ Patients
/ Phylogeny
/ Polymerase chain reaction
/ Restriction fragment length polymorphism
/ Science
/ Science (multidisciplinary)
/ Skin diseases
/ Skin lesions
/ Speciation
/ Vector-borne diseases
/ Vectors
2022
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Genotypic and phylogenic analyses of cutaneous leishmaniasis in Al Ahsa, Eastern Saudi Arabia during the coronavirus disease 2019 pandemic: First cases of Leishmania tropica with the predominance of Leishmania major
Journal Article
Genotypic and phylogenic analyses of cutaneous leishmaniasis in Al Ahsa, Eastern Saudi Arabia during the coronavirus disease 2019 pandemic: First cases of Leishmania tropica with the predominance of Leishmania major
2022
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Overview
During the coronavirus disease 2019 lockdown period, a surge in sandflies and cutaneous leishmaniasis (CL) cases was observed in Al-Ahsa, Saudi Arabia. Skin punch biopsies were obtained from 100 patients clinically diagnosed with CL in Al-Ahsa who had no travel history in the last 6 months. Impression smears were used following a three-step polymerase chain reaction (PCR) protocol using genus-specific primers targeting kDNA and ITS1.
Leishmania
speciation was determined by ITS1 PCR/nested PCR-restriction fragment length polymorphism and sequencing. A phylogenetic tree was constructed. The associated patient characteristics were analyzed. Using internal transcribed spacer one (ITS1)-PCR/nested PCR, 98 cases were considered true-positive CL.
Leishmania major
was the predominant species, and
Leishmania tropica
was identified in three cases. Microscopy had poor sensitivity and perfect specificity. Direct ITS1-PCR missed nine cases. Sex, residence, and treatment outcome were significantly associated with the occurrence of
Leishmania
; distribution of skin lesion(s) and treatment outcome were significantly associated with
Leishmania
genotype. This is the first time that
L. tropica
was identified as a cause of CL in human in Al-Ahsa, in addition to the predominant zoonotic species,
L. major
. We recommend using ITS1-nested PCR for negative cases by ITS1-PCR. Further exploration of
Leishmania
transmission dynamics in vectors and reservoir animals is essential for designing effective preventive measures.
Publisher
Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio
Subject
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