14th ICID - Poster Abstracts - International Society for Infectious ...
14th ICID - Poster Abstracts - International Society for Infectious ...
14th ICID - Poster Abstracts - International Society for Infectious ...
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When citing these abstracts please use the following reference:<br />
Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number.<br />
Please note that the official publication of the <strong>International</strong> Journal of <strong>Infectious</strong> Diseases 2010, Volume 14, Supplement 1<br />
is available electronically on http://www.sciencedirect.com<br />
Final Abstract Number: 82.007<br />
Session: Trypanosomiasis, Leishmaniasis & Schistosomiasis<br />
Date: Friday, March 12, 2010<br />
Time: 12:30-13:30<br />
Room: <strong>Poster</strong> & Exhibition Area/Ground Level<br />
Type: <strong>Poster</strong> Presentation<br />
Patients with suspected visceral leishmaniasis in Istanbul<br />
H. Cakan 1 , S. Saribas 2 , V. Oz 1 , E. Polat 3 , M. Aslan 2 , B. Kocazeybek 3<br />
1 Istanbul University, Forensic Medicine Institue, Istanbul, Turkey, 2 Istanbul University Cerrahpasa<br />
Faculty of Medicine, Istanbul, Turkey, 3 Istanbul University Cerrahpasa Faculty of Medicine,<br />
Turkey, Turkey<br />
Background: Visceral Leishmaniasis (VL) is a parasitic disease caused by Leishmania infantum.<br />
It is transmitted through bites of infected sand flies (female Phlebotomus). We aimed to<br />
investigate bone marrow and blood samples obtained from the patients with suspected VL.<br />
Methods: Fifty-nine patients with suspected VL from Istanbul were included in this work. Bone<br />
marrow and blood samples of these patients were tested <strong>for</strong> possible VL infection using several<br />
methods including serological tests, microscopy, PCR.<br />
Results: Nineteen (32.2%) patients had positive results <strong>for</strong> VL after one or more of the tests<br />
per<strong>for</strong>med, while only 7 patients (11.8%) had positive results with all the tests including Giemsa<br />
stain. Four (6.8%) patients had negative results based on all the serological tests per<strong>for</strong>med<br />
except <strong>for</strong> positive results with Giemsa stain, culture and PCR. The other 4 (6.8%) patients had<br />
positive results with Formol-gel, ELISA IgG ( >1.1 ISR) and IFAT IgG, (>1/256) but negative<br />
results were obtained with direct microscopic examination, culture and PCR. Using PCR<br />
Leishmania infantum DNA was detected in 11(18.6%) of the (Leishmania) cultures originated<br />
from the bone marrow samples. Plasmodium vivax was found in 2 (3.4%) patients and leptospira<br />
was detected in 1 (1.7%) patient. One (1.7%) patient was diagnosed with Pneumonia<br />
(Streptococcus pneumoniae). Forty (67.8%) patients had negative results after direct microscopic<br />
examination, culture, serological tests and PCR. The kappa coefficients =0.80 = 1.00, =0.51,<br />
=0.55 and =0.45 were evaluated <strong>for</strong> PCR and direct microscopic examination, PCR and<br />
culture, PCR and ELISA, PCR and IFAT and PCR and Formol-Gel, as perfect agreement, perfect<br />
agreement, moderate agreement and moderate agreement fair moderate, respectively. The<br />
probability values (p) <strong>for</strong> comparisons of all the above tests with PCR showed a significant<br />
correlation (p