Search published articles


Showing 4 results for Cutaneous
The Comparison of Direct Microscopic Examination and Culture Results in Diagnosis of Cutaneous Leishmaniasis
F Tohidi, M Qorbani,
Volume 2, Issue 2 (10-2008)
Abstract
Abstract Background and Objectives: one of the endemic foci for Cutaneous Leishmaniasis in Iran is Mashhad in which limited outbreak have recently been reported. The commonly used method for diagnosis is the clinical features confirmed by direct microspic examination and culture or biopsy. We compared these two tests to determine the level of their sensitivity, specificity and positive predictive value. Material and Methods: we performed this comparative-analytic study on 73 patients suspected of having ulcers Leishmaniasis in Mashhad, Iran. Giemsa was staining the smears and the samples cultivated on Di-phasic N.N.N. culture media . Analysis was performed by SPSS version 11.5 and Chi square test. A P- value less than 0.05 were considered as a significant. Results: In 43 cases (58.9%), both the smear and culture are Positive. In 13 cases (17.8%), the smear is negative but the culture Positive. In 17 cases (23.2%), both smear and culture are negative. The two methods are positively correlated (82%). Sensitivity, Specifity, Positive predictive Value and negative predictive value are 76.7%, 100%, 100% and 56.7%., respectively. Conclusion: when the smear is positive, there is no need for culture. However, the opposite is not true. Key words: Cutaneous Leishmaniasis, Laboratory Diagnostic, Direct Microspic Examination, Culture.
Sensitivity and Specificity of Nucleic Acid Sequence-Based Amplification Method for Diagnosis of Cutaneous Leishmaniasis
Ar Niazi, F Koohsar, F Ghaffarifar, H Ziaei-Hezarjaribi,, F Mesgarian, on Jorjani,
Volume 8, Issue 2 (7-2014)
Abstract
Abstract Background and Objective: Culture, microscopic method is a gold standard method for identification of Lishmania parasite. The use of Molecular methods such as RT- PCR compared to microscopic methods has a higher sensitivity and specificity however, it is not widely used due to its expensive equipment and the time requested. The use of nucleic acid sequence based amplification (NASBA) method is highly valuable for diagnosis of live parasite because there is no need for to use Thermo cycler. We aimed to assess sensitivity and specificity of NASBA for molecular detection of cutaneous Leishmaniasis. Material and Methods: First, the RNA was extracted from 28 skin biopsies suspected cutaneous Leishmaniasis. Then, by means of specific primers designed for 18srRNA region, this region was amplified using NASBA isothemal amplification. To increase the sensitivity, the product was electroforesed in TBE (IX) buffer, using Syber Gold Flourecent probes. Using specific primers, RT- PCR was conducted on the samples too. Result: For diagnosis of Leishmania parasites, NASBA and RT-PCR had the sensitivity of 81% and 51%, respectively, and specificity of 100%. Conclusion: NASBA isothermal method with high sensitivity and specificity can be applied for identification of cutaneous leishmaniasis. Keywords: Cutaneous Leishmanisis, NASBA, 18S rRNA
Identification of Species Causing Cutaneous Leishmaniasis by PCR in Chahbahar, Iran
Hosein Soleimanpoor , Mansour Dabirzadeh, Bahman Fooladi ,
Volume 10, Issue 2 (3-2016)
Abstract

ABSTRACT

       Background and Objective: Chabahar is in Southern Iran located near the Iran-Pakistan border. Since leishmaniasis is an emerging disease in this region, this study aimed to diagnose the disease and identify different species of Leishmania parasite in the patients referred to the central laboratory.

      Methods: This descriptive cross-sectional study was conducted in 2011-2012 on patients referred to the central laboratory in the city of Chabahar. The sampling of lesions, slide preparation, culture and PCR specific for kinetoplast DNA (kDNA), extracted from the media and slides, were performed. The data collected by a questionnaire were analyzed by the SPSS software.

       Results:  The resulted bands from the 48 tested cutaneous leishmaniasis isolates were compared with the standard strains of Leishmania tropica, L. infantum and L. major. All 48 investigated bands were in the 620bp region, which is related to L. major.

        Conclusion: Since PCR has high sensitivity and specificity, it is recommended to use kDNA (present in a unique organelle called kinetoplast) for the routine diagnosis and treatment of the disease.


In Vitro Effect of Methanolic Extract of Quercus infectoria Galls on Promastigotes and Amastigotes of Leishmania major (MRHO/IR/75/ER)
Asghar Farghi Yamchi , Mansour Dabirzadeh, Yahya Maroufi,
Volume 12, Issue 5 (9-2018)
Abstract
ABSTRACT
           Background and objectives: Leishmania major is a flagellated parasitic protozoan that causes cutaneous leishmaniasis. Pentavalent antimony compounds are considered the first-line drugs in the treatment of cutaneous leishmaniasis. However, the use of these drugs is associated with numerous limitations and side effects. Therefore, there is a need for herbal and natural alternatives for these compounds with fewer side effects. In this study, we evaluated the in vitro activity of methanol extract of Quercus infectoria (oak galls) against promastigotes and amastigotes of L. major.
           Methods: In this experimental study, the effect of 10, 100, 500 and 1000 µg/ml of methanolic extract of oak galls and 100, 500, 1000 and 10000 µg/ml of Glucantime was evaluated against L. major promastigotes using direct cell counting and MTT assay. Moreover, the effect of different concentrations of the extract and Glucantime was investigated on the mean number of amastigotes in macrophages after 24 and 48 hours. Data were analyzed using SPSS 16 and one- way analysis of variance.
           Results: The half-maximal inhibitory concentration of the oak gall extract and Glucantime was 75 µg/ml and 221 µg/ml after 24 hours, respectively. After 24 hours, the mean number of amastigotes per macrophage was lowest at concentrations of 1000 µg/ml of the extract (0.9) and 10000 µg/ml of Glucantime (0.85).
           Conclusion: Considering the inhibition of intracellular and extracellular growth of L. major, the oak gall extract might be used as an efficient and safe agent for treatment of cutaneous leishmaniasis.
           KEYWORDS: Leishmaniasis, Cutaneous, Quercus.

Page 1 from 1     

© 2007 All Rights Reserved | Medical Laboratory Journal

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.