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Outbreak of Cutaneous Leishmaniasis in Peruvian Military Personnel Undertaking Training Activities in the Amazon Basin, 2010

Article / 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.

Identiferoai:union.ndltd.org:PERUUPC/oai:repositorioacademico.upc.edu.pe:10757/558294
Date20 June 2015
CreatorsOré,Marianela, Sáenz, 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.
PublisherAmerican Society of Tropical Medicine and Hygiene
Source SetsUniversidad Peruana de Ciencias Aplicadas (UPC)
LanguageEnglish
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/article
SourceUniversidad Peruana de Ciencias Aplicadas (UPC), Repositorio Académico - UPC
Rightsinfo:eu-repo/semantics/openAccess
Relationhttp://www.ajtmh.org/content/early/2015/06/11/ajtmh.15-0107.full.pdf+html

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