Outbreak of Cutaneous Leishmaniasis in Peruvian Military Personnel Undertaking Training Activities in the Amazon Basin, 2010
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Authors
Oré,MarianelaSáenz, Eliana
Cabrera, Rufino
Sanchez, Juan F.
De Los Santos, Maxy
Lucas, Carmen M.
Núñez, Jorge
Edgel, Kimberly A.
Sopan, Justino
Fernández, Jorge
Carnero, G, Andres M.
Baldeviano, Christian
Arrasco, Juan C.
Graf, Paul C. F.
Lescano, Andres G.
Issue Date
2015-06-20
Metadata
Show full item recordJournal
American Journal of Tropical Medicine and Hygiene (ajtmh)DOI
10.4269/ajtmh.15-0107Abstract
Military personnel deployed to the Amazon Basin are at high risk for cutaneous leishmaniasis (CL). We responded to an outbreak among Peruvian Army personnel returning from short-term training in the Amazon, conducting active case detection, lesion sample collection, and risk factor assessment. The attack rate was 25% (76/303); the incubation period was 2–36 weeks (median = 8). Most cases had one lesion (66%), primarily ulcerative (49%), and in the legs (57%). Real-time polymerase chain reaction (PCR) identified Leishmania (Viannia) braziliensis (59/61 = 97%) and L. (V.) guyanensis (2/61 = 3%). Being male (risk ratio [RR] = 4.01; P = 0.034), not wearing long-sleeve clothes (RR = 1.71; P = 0.005), and sleeping in open rooms (RR = 1.80; P = 0.009) were associated with CL. Sodium stibogluconate therapy had a 41% cure rate, less than previously reported in Peru (70%; P < 0.001). After emphasizing pre-deployment education and other basic prevention measures, trainees in the following year had lower incidence (1/278 = 0.4%; P < 0.001). Basic prevention can reduce CL risk in deployed militaries.Type
info:eu-repo/semantics/articleRights
info:eu-repo/semantics/openAccessLanguage
engDescription
ArticleISSN
0002-9637EISSN
1476-1645ae974a485f413a2113503eed53cd6c53
10.4269/ajtmh.15-0107
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