Hatay’da göç öncesi ve sonrası saptanan kutanöz leishmaniasis olgularının gerçek zamanlı polimeraz zincir reaksiyonu ile genotiplendirilmesi
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Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
Galenos Yayınevi
Access Rights
info:eu-repo/semantics/openAccess
Abstract
Amaç: Türkiye’de Kutanöz Leishmaniasise (KL) sebep olan türler Leishmania tropica (L. tropica) ve Leishmania infantum’dur (L.infantum). Suriye’den diğer ülkelere 2011 yılındaki iç karışıklıktan dolayı büyük bir göç olmuştur. KL’nin endemik olduğu Suriye’dendiğer ülkelere olan göçün, KL olgu sayısını ve tür çeşitliliğini etkilediği düşünülmektedir. Çalışmada, arşivde yayma preparatlarıbulunan KL pozitif, göç öncesi ve sonrası Türk hasta ve importe (Suriye’li) hastalara ait örneklerin tiplendirilmesi ve Hatay’dakigöç öncesiyle sonrasındaki KL tür farklılığının ortaya konulması amaçlanmıştır.Yöntemler: Çalışmaya arşivde bulunan, dermal kazıntıdan yayma preparatı hazırlanmış, Giemsa boyalı ve mikroskop inceleme ilepozitifliği saptanan toplam 150 hastaya ait (Göç öncesi 50 Türk hasta, göç sonrası 50 Türk hasta ve Suriye’li 50 hasta) preparatlardahil edilmiştir. Seçilen preparatların DNA izolasyonu yapılmış ve tür tayini için ITS-1problu GZ-PZR analizi yapılmıştır.Bulgular: Göç öncesi Türk hastalara ait örneklerin 40’ında L.infantum/donovani (%80), 8’inde L. tropica (%16), 2’sinde L.major(%4) saptanırken, göç sonrası Türk hastalara ait örneklerin ise 28’inde L. infantum/donovani (%56), 3’ünde L. major (%6), 19’undaL. tropica (%38) tespit edilmiştir. Suriye’li hastalara ait örneklerin 2’sinde L. infantum/donovani (%4), 1’inde L. major (%2) ve47’sinde ise L. tropica (%94) saptanmıştır.Sonuç: Hatay’da göç öncesi yerli olgularda çoğunlukla KL’ye neden olan türün L. infantum/donovani olduğu gözlemlenirken, göçsonrası yerli olgularda L. tropica’nın artma eğiliminde olduğu, L. major’a ise geçmiş yıllara göre daha çok rastlandığı görülmektedir.Hatay’a gelen Suriye’lilerin KL etkeni olan Leishmania türlerinde çeşitliliğe neden olabileceği ve konu üzerinde daha ileriaraştırmaların yapılması gerektiği sonucuna varılmıştır.
Objective: Leishmania tropica (L. tropica) and Leishmania infantum (L. infantum) are the species causing cutaneous Leishmaniasis (CL) in Turkey. There was a wave of immigration due civil war in Syria in 2011. Migration from Syria, where CL is endemic, to other countries is thought to affect the number of CL cases and species diversity. The aim of the study was to typify the samples of CL positive, pre-migration and post-migration Turkish patients and importe (Syrian) patients whose smears were found in the archive and to reveal the difference of CL species before and after migration in Hatay. Methods: Smears of a total of 150 patients (50 Turkish patients before migration, 50 Turkish patients after migration and 50 Syrian patients) which had been prepared with dermal scraping, stained with Giemsa and determined as CL positive by microscope examination were included in the study. DNA isolation of selected preparations was performed and GZ-PZR analysis with ITS1probe was performed for species determination. Results: L. infantum/donovani was detected in 40 (80%), L. tropica in 8 (16%), and L. major in 2 (4%) of the samples belonging to pre-immigration Turkish patients. L. infantum/donovani was detected in 28 (56%), L. major in 3 (6%) and L. tropica in 19 (%38) of the samples belonging to post-immigration Turkish patients. L. infantum/donovani was detected in 2 (4%), L. major in 1 (2%) and L. tropica in 47 (94%) of the samples belonging to Syrian patients Conclusions: It was observed that in local cases in Hatay before immigration, L. infantum/donovani was the common species that caused CL and that after immigration L. tropica began to raise and that L. major was more encountered than before. It was concluded that Syrians coming to Hatay may have caused diversity in the Leishmania species which were the causative agents of CL, and that further research was needed on the subject.
Objective: Leishmania tropica (L. tropica) and Leishmania infantum (L. infantum) are the species causing cutaneous Leishmaniasis (CL) in Turkey. There was a wave of immigration due civil war in Syria in 2011. Migration from Syria, where CL is endemic, to other countries is thought to affect the number of CL cases and species diversity. The aim of the study was to typify the samples of CL positive, pre-migration and post-migration Turkish patients and importe (Syrian) patients whose smears were found in the archive and to reveal the difference of CL species before and after migration in Hatay. Methods: Smears of a total of 150 patients (50 Turkish patients before migration, 50 Turkish patients after migration and 50 Syrian patients) which had been prepared with dermal scraping, stained with Giemsa and determined as CL positive by microscope examination were included in the study. DNA isolation of selected preparations was performed and GZ-PZR analysis with ITS1probe was performed for species determination. Results: L. infantum/donovani was detected in 40 (80%), L. tropica in 8 (16%), and L. major in 2 (4%) of the samples belonging to pre-immigration Turkish patients. L. infantum/donovani was detected in 28 (56%), L. major in 3 (6%) and L. tropica in 19 (%38) of the samples belonging to post-immigration Turkish patients. L. infantum/donovani was detected in 2 (4%), L. major in 1 (2%) and L. tropica in 47 (94%) of the samples belonging to Syrian patients Conclusions: It was observed that in local cases in Hatay before immigration, L. infantum/donovani was the common species that caused CL and that after immigration L. tropica began to raise and that L. major was more encountered than before. It was concluded that Syrians coming to Hatay may have caused diversity in the Leishmania species which were the causative agents of CL, and that further research was needed on the subject.
Description
Keywords
Kutanöz leishmaniasis, Göç, Gerçek zamanlı-polimeraz zincir reaksiyonu, Hatay, Cutaneous leishmaniasis, Migration, Real-time polymerase chain reaction
Journal or Series
Türkiye Parazitoloji Dergisi
WoS Q Value
Scopus Q Value
Q3
Volume
44
Issue
1
Citation
ÇULHA G,KAYA T,DOĞRAMACI A. Ç (2020). Hatay’da Göç Öncesi ve Sonrası Saptanan Kutanöz Leishmaniasis Olgularının Gerçek Zamanlı Polimeraz Zincir Reaksiyonu ile Genotiplendirilmesi. Türkiye Parazitoloji Dergisi, 44(1), 48 - 51. Doi: 10.4274/tpd.galenos.2020.6650
