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Hide M, Michel G, Legueult K, Pin R, Leonard S, Simon L, Bañuls AL, Delaunay P, Marty P, Pomares C. Asymptomatic Leishmania infantum infection in dogs and dog owners in an endemic area in southeast France. Parasite 2024; 31:16. [PMID: 38530209 DOI: 10.1051/parasite/2024019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 03/04/2024] [Indexed: 03/27/2024] Open
Abstract
The prevalence of asymptomatic leishmaniasis in dogs and their owners in the main endemic areas of France has not been studied to date. The objective of this study was to quantify asymptomatic Leishmania infantum infection in southeast France in healthy people and their dogs using molecular and serological screening techniques. We examined the presence of parasitic DNA using specific PCR targeting kinetoplast DNA (kDNA) and specific antibodies by serology (ELISA for dogs and Western blot for humans) among immunocompetent residents and their dogs in the Alpes-Maritimes. Results from 343 humans and 607 dogs were included. 46.9% (n = 161/343) of humans and 18.3% (n = 111/607) of dogs were PCR positive; 40.2% of humans (n = 138/343) and 9.9% of dogs (n = 60/607) were serology positive. Altogether, 66.2% of humans (n = 227) and 25.7% of dogs (n = 156) had positive serologies and/or positive PCR test results. Short-haired dogs were more frequently infected (71.8%, n = 112) than long-haired dogs (12.2%, n = 19) (p = 0.043). Dogs seemed to be more susceptible to asymptomatic infection according to their breed types (higher infection rates in scenthounds, gun dogs and herding dogs) (p = 0.04). The highest proportion of dogs and human asymptomatic infections was found in the Vence Region, corresponding to 28.2% (n = 20/71) of dogs and 70.5% (n = 31/44) of humans (4.5/100,000 people). In conclusion, the percentage of infections in asymptomatic humans is higher than in asymptomatic dogs in the studied endemic area. It is questionable whether asymptomatic infection in humans constitutes a risk factor for dogs.
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Affiliation(s)
- Mallorie Hide
- MIVEGEC, Université de Montpellier, IRD, CNRS, 911 av Agropolis, 34090, Montpellier, France
| | - Gregory Michel
- Centre Méditerranéen de Médecine Moléculaire (C3M), U1065, Université Côte d'Azur, Inserm, 151 route Saint Antoine de Ginestière, BP 2 3194 06204, Nice, France
| | - Kevin Legueult
- Département de Santé Publique, UR2CA, Université Côte d'Azur, Centre Hospitalier Universitaire de Nice, 151, route de Saint Antoine de Ginestière, CS 23079 06202, Nice, France
| | - Raphaelle Pin
- Laboratoire Vétérinaire Départemental, 105 route des Chappes, BP 107 06902, Sophia-Antipolis, France
| | - Susana Leonard
- MIVEGEC, Université de Montpellier, IRD, CNRS, 911 av Agropolis, 34090, Montpellier, France
| | - Loïc Simon
- Centre Méditerranéen de Médecine Moléculaire (C3M), U1065, Université Côte d'Azur, Inserm, 151 route Saint Antoine de Ginestière, BP 2 3194 06204, Nice, France - Service de Parasitologie Mycologie, CHU Nice, 151, route de Saint Antoine de Ginestière, CS 23079 06202, Nice, France
| | - Anne-Laure Bañuls
- MIVEGEC, Université de Montpellier, IRD, CNRS, 911 av Agropolis, 34090, Montpellier, France
| | - Pascal Delaunay
- Service de Parasitologie Mycologie, CHU Nice, 151, route de Saint Antoine de Ginestière, CS 23079 06202, Nice, France
| | - Pierre Marty
- Centre Méditerranéen de Médecine Moléculaire (C3M), U1065, Université Côte d'Azur, Inserm, 151 route Saint Antoine de Ginestière, BP 2 3194 06204, Nice, France - Service de Parasitologie Mycologie, CHU Nice, 151, route de Saint Antoine de Ginestière, CS 23079 06202, Nice, France
| | - Christelle Pomares
- Centre Méditerranéen de Médecine Moléculaire (C3M), U1065, Université Côte d'Azur, Inserm, 151 route Saint Antoine de Ginestière, BP 2 3194 06204, Nice, France - Service de Parasitologie Mycologie, CHU Nice, 151, route de Saint Antoine de Ginestière, CS 23079 06202, Nice, France
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Sevestre J, Marty P, Hubiche T, Pomares C, Delaunay P. Groundbreaking outpatient activity in medical entomology in France: An eight-year experience in a french university hospital. Infect Dis Now 2023; 53:104728. [PMID: 37295744 DOI: 10.1016/j.idnow.2023.104728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Revised: 03/21/2023] [Accepted: 05/27/2023] [Indexed: 06/12/2023]
Abstract
INTRODUCTION Arthropods are known to impair human health in various manners, acting as infectious disease vectors, or as simple nuisances. Even though considerable research is being produced in medical entomology, no reports on patient management in clinical entomology units are available in the literature. PATIENTS AND METHODS We retrospectively surveyed all the records from patients having consulted in our outpatient clinical entomology unit in Nice University Hospital from 2012 to 2020. For each patient, physical examination findings and treatment data were analyzed. RESULTS A total of 518 patients were analyzed in this study. Most were diagnosed with arthropod infestation (55.8%), the most common being Sarcoptes scabiei (35%), bedbugs (23%), Pyemotes dermatitis (17.6%) and flea infestation (15.9%). Along with symptomatic treatments, targeted environmental measures could be proposed for infested patients. For many of our patients, on the other hand, active infestation was ruled out. CONCLUSION Given today's lack of expertise in medical entomology, we advocate for the creation of medical entomology units in university hospitals, not only allowing fair and proportionate multidisciplinary management of patients in whom arthropod infestation is suspected, but also generating cost savings.
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Affiliation(s)
- Jacques Sevestre
- Service de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice, Nice, France.
| | - Pierre Marty
- Service de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice, Nice, France; C3M, INSERM 1065, Université de la Côte d'Azur, Nice, France
| | - Thomas Hubiche
- Service de Dermatologie, Centre Hospitalier Universitaire de Nice, Nice, France
| | - Christelle Pomares
- Service de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice, Nice, France; C3M, INSERM 1065, Université de la Côte d'Azur, Nice, France
| | - Pascal Delaunay
- Service de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice, Nice, France
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Hasnaoui B, Bérenger JM, Delaunay P, Diarra AZ, Ndiaye EHI, M'madi SA, Masotti N, Sevestre J, Parola P. Survey of bed bug infestations in homeless shelters in southern France. Sci Rep 2023; 13:12557. [PMID: 37532686 PMCID: PMC10397270 DOI: 10.1038/s41598-023-38458-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 07/08/2023] [Indexed: 08/04/2023] Open
Abstract
Bed bug has become a major public health pest worldwide. Infestation may result in numerous negative health effects. Homeless shelters are one of the most habitats that can be infested with bed bugs, a few studies have focused on bed bug infestations in these settings. We conducted a survey of infestations of bed bugs in a homeless shelter in southern France, using an innovative seven-level scale (0-6) to assess the degree of infestation, MALDI TOF-MS to identify bed bugs, and a biomolecular tool to detect bacteria. Bed bug infestations were documented in 13% (9/68) of investigated rooms. A total of 184 bed bugs were collected and morphologically identified as Cimex lectularius. MALDI TOF-MS analysis allowed us to obtain high-quality MS spectra for all 184 specimens, to correctly identify all specimens, and included 178/184 (97%) Log Score Values higher than 1.8. Among the bacteria tested, Wolbachia sp. DNA was found in 149/184 (81%) of the bed bugs, and one sample was positive for Coxiella burnetii, the agent of Q fever. Our study is the first of its kind that offers new perspectives for increasing public awareness of the conditions in homeless shelters.
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Affiliation(s)
- Bouthaina Hasnaoui
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France
- IHU-Méditerranée Infection, Marseille, France
| | - Jean Michel Bérenger
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France
- IHU-Méditerranée Infection, Marseille, France
| | - Pascal Delaunay
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France
- Laboratory of Parasitology Mycology, Nice University Hospital, Nice, France
| | - Adama Zan Diarra
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France
- IHU-Méditerranée Infection, Marseille, France
| | - El Hadji Ibrahima Ndiaye
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France
- IHU-Méditerranée Infection, Marseille, France
| | - Saidou Ahamada M'madi
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France
- IHU-Méditerranée Infection, Marseille, France
| | - Noelle Masotti
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France
| | - Jacques Sevestre
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France
- IHU-Méditerranée Infection, Marseille, France
| | - Philippe Parola
- Aix Marseille Univ, IRD, SSA, AP-HM, VITROME, 19-21 Boulevard Jean Moulin, 13005, Marseille, France.
- IHU-Méditerranée Infection, Marseille, France.
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Jaffal A, Fite J, Baldet T, Delaunay P, Jourdain F, Mora-Castillo R, Olive MM, Roiz D. Current evidences of the efficacy of mosquito mass-trapping interventions to reduce Aedes aegypti and Aedes albopictus populations and Aedes-borne virus transmission. PLoS Negl Trop Dis 2023; 17:e0011153. [PMID: 36877728 PMCID: PMC10032496 DOI: 10.1371/journal.pntd.0011153] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Revised: 03/22/2023] [Accepted: 02/08/2023] [Indexed: 03/07/2023] Open
Abstract
BACKGROUND Over the past decades, several viral diseases transmitted by Aedes mosquitoes-dengue, chikungunya, Zika-have spread outside of tropical areas. To limit the transmission of these viruses and preserve human health, the use of mosquito traps has been developed as a complement or alternative to other vector control techniques. The objective of this work was to perform a systematic review of the existing scientific literature to assess the efficacy of interventions based on adult mosquito trap to control Aedes population densities and the diseases they transmit worldwide. METHODS AND FINDINGS Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic review was conducted using the PubMed and Scopus databases. Among the 19 selected papers, lethal ovitraps were used in 16 studies, host-seeking female traps in 3 studies. Furthermore, 16 studies focused on the control of Ae. aegypti. Our review showed great heterogeneity in the indicators used to assess trap efficacy: e.g., the number of host-seeking females, the number of gravid females, the proportion of positive containers, the viral infection rate in female mosquitoes or serological studies in residents. Regardless of the type of studied traps, the results of various studies support the efficacy of mass trapping in combination with classical integrated vector control in reducing Aedes density. More studies with standardized methodology, and indicators are urgently needed to provide more accurate estimates of their efficacy. CONCLUSIONS This review highlights gaps in the demonstration of the efficacy of mass trapping of mosquitoes in reducing viral transmission and disease. Thus, further large-scale cluster randomized controlled trials conducted in endemic areas and including epidemiological outcomes are needed to establish scientific evidence for the reduction of viral transmission risk by mass trapping targeting gravid and/or host-seeking female mosquitoes.
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Affiliation(s)
- Ali Jaffal
- French Agency for Food, Environmental and Occupational Health & Safety (Anses), Maisons-Alfort, France
| | - Johanna Fite
- French Agency for Food, Environmental and Occupational Health & Safety (Anses), Maisons-Alfort, France
| | - Thierry Baldet
- ASTRE (Animal, Santé, Territoires, Risques, Ecosystèmes), CIRAD, Univ Montpellier, Montpellier, France
| | - Pascal Delaunay
- Service de Parasitologie-Mycologie, Hôpital L'Archet, Centre Hospitalier Universitaire de Nice, UCA, Nice, France
| | - Frédéric Jourdain
- Santé publique France (French National Public Health Agency), Montpellier, France
- MIVEGEC, IRD, CNRS, Université Montpellier, Montpellier, France
| | | | - Marie-Marie Olive
- ASTRE (Animal, Santé, Territoires, Risques, Ecosystèmes), CIRAD, Univ Montpellier, Montpellier, France
- MIVEGEC, IRD, CNRS, Université Montpellier, Montpellier, France
| | - David Roiz
- MIVEGEC, IRD, CNRS, Université Montpellier, Montpellier, France
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Landreau A, Simon L, Delaunay P, Pomares C, Hasseine L. Superficial fungal infections in the south of France-is fusariosis the next emergent onychopathy? Med Mycol 2023; 61:7033430. [PMID: 36758968 DOI: 10.1093/mmy/myad015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 01/23/2023] [Accepted: 02/08/2023] [Indexed: 02/11/2023] Open
Abstract
In France, onychomycoses represent about 30% of superficial mycoses seen by dermatologists. In recent years, an increased number of mycoses have been observed due to non-dermatophytic moulds. The purpose of this study was to evaluate the epidemiological profile of identified superficial fungal infections in the Laboratory of Parasitology-Mycology of the University Hospital of Nice over a 2-year period. A retrospective study was performed from the nail, skin, and scalp samples of patients analyzed from January 2018 to December 2019. In this study, 3074 samples (54.2% nails, 39.7% skin, and 6.1% scalp) were analyzed representing 1922 patients. Among them, 809 (42.1%) patients were sampled by dermatologists and 1113 (57.9%) were sampled by our experts in the clinical unit of the University Hospital of Nice. In total, 1159 (37.7%) samples had a positive culture (1195 strains identified) including 712 (59.6%) dermatophytes, 345 (28.9%) yeasts, and 138 (11.5%) other filamentous moulds. Trichophyton rubrum was the main dermatophyte (563; 47.1%) followed by T. interdigitale (84; 7.0%), and T. soudanense (25; 2.1%). Yeasts were mostly represented by Candida albicans (155; 13.0%). Among the other moulds, Fusarium sp. was the most isolated (61; 5.1%). Dermatophytes stay predominant in superficial fungal infections where the anthropophilic species T. rubrum was found in almost half of the positive cultures. Interestingly, moulds represented an important part of infections in our population. This study highlights the increasing share of Fusarium sp. superficial fungal infection in our patients' population, perhaps requiring a major therapeutic adaptation in the years to come.
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Affiliation(s)
- Anne Landreau
- Univ Angers, Univ Brest, [CHU Angers], IRF, SFR ICAT, Angers, France
| | - Loïc Simon
- CHU de Nice, Service de Parasitologie-Mycologie, Nice, France.,Université Côte d'Azur, INSERM 1065 C3M, Nice, France
| | - Pascal Delaunay
- CHU de Nice, Service de Parasitologie-Mycologie, Nice, France
| | - Christelle Pomares
- CHU de Nice, Service de Parasitologie-Mycologie, Nice, France.,Université Côte d'Azur, INSERM 1065 C3M, Nice, France
| | - Lilia Hasseine
- CHU de Nice, Service de Parasitologie-Mycologie, Nice, France
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Cannet A, Simon-Chane C, Akhoundi M, Histace A, Romain O, Souchaud M, Jacob P, Delaunay P, Sereno D, Bousses P, Grebaut P, Geiger A, de Beer C, Kaba D, Sereno D. Wing Interferential Patterns (WIPs) and machine learning, a step toward automatized tsetse (Glossina spp.) identification. Sci Rep 2022; 12:20086. [PMID: 36418429 PMCID: PMC9684539 DOI: 10.1038/s41598-022-24522-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Accepted: 11/16/2022] [Indexed: 11/24/2022] Open
Abstract
A simple method for accurately identifying Glossina spp in the field is a challenge to sustain the future elimination of Human African Trypanosomiasis (HAT) as a public health scourge, as well as for the sustainable management of African Animal Trypanosomiasis (AAT). Current methods for Glossina species identification heavily rely on a few well-trained experts. Methodologies that rely on molecular methodologies like DNA barcoding or mass spectrometry protein profiling (MALDI TOFF) haven't been thoroughly investigated for Glossina sp. Nevertheless, because they are destructive, costly, time-consuming, and expensive in infrastructure and materials, they might not be well adapted for the survey of arthropod vectors involved in the transmission of pathogens responsible for Neglected Tropical Diseases, like HAT. This study demonstrates a new type of methodology to classify Glossina species. In conjunction with a deep learning architecture, a database of Wing Interference Patterns (WIPs) representative of the Glossina species involved in the transmission of HAT and AAT was used. This database has 1766 pictures representing 23 Glossina species. This cost-effective methodology, which requires mounting wings on slides and using a commercially available microscope, demonstrates that WIPs are an excellent medium to automatically recognize Glossina species with very high accuracy.
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Affiliation(s)
- Arnaud Cannet
- Direction des affaires sanitaires et sociales de la Nouvelle-Calédonie, Nouméa, New Caledonia France
| | - Camille Simon-Chane
- grid.424458.b0000 0001 2287 8330ETIS UMR 8051, Cergy Paris University, ENSEA, CNRS, 95000 Cergy, France
| | - Mohammad Akhoundi
- grid.413780.90000 0000 8715 2621Parasitology-Mycology, Hôpital Avicenne, AP-HP, Bobigny, France
| | - Aymeric Histace
- grid.424458.b0000 0001 2287 8330ETIS UMR 8051, Cergy Paris University, ENSEA, CNRS, 95000 Cergy, France
| | - Olivier Romain
- grid.424458.b0000 0001 2287 8330ETIS UMR 8051, Cergy Paris University, ENSEA, CNRS, 95000 Cergy, France
| | - Marc Souchaud
- grid.424458.b0000 0001 2287 8330ETIS UMR 8051, Cergy Paris University, ENSEA, CNRS, 95000 Cergy, France
| | - Pierre Jacob
- grid.424458.b0000 0001 2287 8330ETIS UMR 8051, Cergy Paris University, ENSEA, CNRS, 95000 Cergy, France
| | - Pascal Delaunay
- grid.462370.40000 0004 0620 5402Inserm U1065, Centre Méditerranéen de Médecine Moléculaire (C3M), Université de Nice-Sophia Antipolis, Nice, France ,grid.413770.6Parasitologie-Mycologie, Hôpital de L’Archet, Centre Hospitalier Universitaire de Nice, (CHU), Nice, France ,grid.462603.50000 0004 0382 3424MIVEGEC, Univ Montpellier, CNRS, IRD, Montpellier, France
| | - Darian Sereno
- grid.121334.60000 0001 2097 0141InterTryp, Univ Montpellier, IRD-CIRAD, Parasitology Infectiology and Public Health Research Group, Montpellier, France
| | - Philippe Bousses
- grid.462603.50000 0004 0382 3424MIVEGEC, Univ Montpellier, CNRS, IRD, Montpellier, France
| | - Pascal Grebaut
- grid.121334.60000 0001 2097 0141InterTryp, Univ Montpellier, IRD-CIRAD, Parasitology Infectiology and Public Health Research Group, Montpellier, France
| | - Anne Geiger
- grid.121334.60000 0001 2097 0141InterTryp, Univ Montpellier, IRD-CIRAD, Parasitology Infectiology and Public Health Research Group, Montpellier, France
| | - Chantel de Beer
- grid.420221.70000 0004 0403 8399Insect Pest Control Laboratory, Joint FAO/IAEA Center of Nuclear Techniques in Food and Agriculture, Vienna, Austria ,grid.428711.90000 0001 2173 1003Epidemiology, Parasites & Vectors, Agricultural Research Council - Onderstepoort Veterinary Research (ARC-OVR), Onderstepoort, South Africa
| | - Dramane Kaba
- grid.452477.7Institut Pierre Richet, Institut National de Santé Publique, Abidjian, Côte d’Ivoire
| | - Denis Sereno
- grid.121334.60000 0001 2097 0141InterTryp, Univ Montpellier, IRD-CIRAD, Parasitology Infectiology and Public Health Research Group, Montpellier, France ,grid.462603.50000 0004 0382 3424MIVEGEC, Univ Montpellier, CNRS, IRD, Montpellier, France
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Costa D, Razakandrainibe R, Basmaciyan L, Raibaut J, Delaunay P, Morio F, Gargala G, Villier V, Mouhajir A, Levy B, Rieder C, Larreche S, Lesthelle S, Coron N, Menu E, Demar M, de Santi VP, Blanc V, Valot S, Dalle F, Favennec L. A summary of cryptosporidiosis outbreaks reported in France and overseas departments, 2017–2020. Food Waterborne Parasitol 2022; 27:e00160. [PMID: 35586547 PMCID: PMC9108463 DOI: 10.1016/j.fawpar.2022.e00160] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Revised: 04/21/2022] [Accepted: 04/24/2022] [Indexed: 11/03/2022] Open
Abstract
Cryptosporidium is a known foodborne pathogen, ranked fifth out of 24 among foodborne parasites in terms of importance and a cause of many cryptosporidiosis outbreaks worldwide. In France, very few outbreaks were reported before 2017, and data recently obtained by the Expert Laboratory of the Cryptosporidiosis National Reference Center (CNR-LE-Cryptosporidiosis) have shown that outbreaks are in fact common and frequently underreported. In this work, we aim to report the characteristics of outbreaks detected in France during the period 2017–2020 and present a summary of investigations carried out by the CNR-LE-Cryptosporidiosis. During the study period, there were eleven cryptosporidiosis outbreaks, including three with no identified origin. Among the eight identified outbreaks: six were due to water contamination (five tap water and one recreational water), one was due to direct contact with infected calves, and one was due to consumption of contaminated curd cheese. Among these outbreaks, five of them exceeded one hundred cases. Recent results obtained by the CNR-LE-Cryptosporidiosis revealed the multiannual occurrence of Cryptosporidium outbreaks in France. Waterborne outbreaks were more frequently detected, while foodborne outbreaks which are more difficult to detect were likely underreported. Massive Cryptosporidium outbreaks were detected in France recently. Waterborne origin appeared predominant. Foodborne origin is probably strongly neglected. Develop adapted monitoring and preventing strategies could reduce cryptosporidiosis
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Sevestre J, Benichou A, Rio V, Delaunay P, Gonfrier G, Martaresche C, Carlo V, Nakam S, Mondain V, Carles M, Jeandel PY, Durant J. Emergence of Lyme Disease on the French Riviera, a Retrospective Survey. Front Med (Lausanne) 2022; 9:737854. [PMID: 35391881 PMCID: PMC8981725 DOI: 10.3389/fmed.2022.737854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Accepted: 02/23/2022] [Indexed: 11/13/2022] Open
Abstract
BackgroundThe French Riviera has been declared free of Lyme Borreliosis (LB) for years. Many patients are referred for presumed LB, sometimes with atypical clinical signs and/or doubtful serology, calling the diagnosis into question.MethodsPatients were assessed for LB diagnosis, depending on clinical presentation, laboratory findings, and further examination by other medical professionals.ResultsAmong 255 patients, 45 (18%) were classified as confirmed LB cases [including 28 ongoing LB (10%) and 17 past LB (8%)], and for 210 (82%) a Lyme borreliosis diagnosis was ruled out. Among ongoing LB, 56% had been exposed to or bitten by ticks, exclusively in rural locations of the Alpes-Maritimes. As a result of the diagnostic procedure, 132 (52%) patients had been treated. An alternative diagnosis was established for 134 (52%) patients, covering a wide range of conditions, including mainly psychological (28%) and neurological conditions (25%) or inflammatory and systemic diseases (22%).ConclusionsOur results strongly suggest the endemicity of LB in the Alpes-Maritimes region. Confirmed LB accounted for 18% of patients while 52% were diagnosed with other conditions.
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Affiliation(s)
- Jacques Sevestre
- Laboratory of Parasitology, Nice University Hospital, Nice, France
- IHU Méditerranée Infection, Marseille, France
| | - Antoine Benichou
- Department of Internal Medicine, Nice University Hospital, Nice, France
| | - Vanessa Rio
- Department of Infectious Diseases, Nice University Hospital, Nice, France
| | - Pascal Delaunay
- Laboratory of Parasitology, Nice University Hospital, Nice, France
| | | | | | - Virginie Carlo
- Department of Infectious Diseases, Nice University Hospital, Nice, France
| | - Sarah Nakam
- Department of Infectious Diseases, Nice University Hospital, Nice, France
| | - Véronique Mondain
- Department of Infectious Diseases, Nice University Hospital, Nice, France
| | - Michel Carles
- Department of Infectious Diseases, Nice University Hospital, Nice, France
| | | | - Jacques Durant
- Department of Infectious Diseases, Nice University Hospital, Nice, France
- *Correspondence: Jacques Durant
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Louvois M, Simon L, Pomares C, Jeandel PY, Demonchy E, Carles M, Delaunay P, Courjon J. Case Report: Autoimmune Hemolysis Anemia After Dihydroartemisinin and Piperaquine for Uncomplicated Plasmodium falciparum Malaria. Front Med (Lausanne) 2022; 8:756050. [PMID: 35111773 PMCID: PMC8801417 DOI: 10.3389/fmed.2021.756050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Accepted: 12/07/2021] [Indexed: 11/13/2022] Open
Abstract
Malaria is still an endemic disease in Africa, with many imported cases in Europe. The standard treatment is intravenous artesunate for severe malaria and oral artemisinin-based combination therapy (ACT) for uncomplicated malaria. Delayed hemolytic anemia (DHA) after intravenous artesunate has been extensively described, and guidelines recommend biological monitoring until 1 month after the end of the treatment. A link with an autoimmune process is still unsure. Nevertheless, cases with positive direct antiglobulin test (DAT) have been reported. Conversely, DHA is not recognized as an adverse effect of oral ACT. Previously, only few cases of DHA occurring after oral ACT without intravenous artesunate administration have been reported. We report the case of a 42-year-old man returning from Togo. He was treated with dihydroartemisinin/piperaquine combination for uncomplicated Plasmodium falciparum malaria, with low parasitemia. Nine days after the end of the treatment, the patient developed hemolytic anemia with positive DAT. Eventually, the patient recovered after corticotherapy. After excluding common causes of autoimmune hemolytic anemia, we considered that dihydroartemisinin/piperaquine treatment was involved in this side effect.
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Affiliation(s)
- Marion Louvois
- Rheumatology, Université Côte d'Azur, CHU Nice, Nice, France
| | - Loïc Simon
- Parasitology and Mycology Department, Université Côte d'Azur, CHU Nice, Nice, France
- Université Côte d'Azur, INSERM 1065, C3M, Nice, France
| | - Christelle Pomares
- Parasitology and Mycology Department, Université Côte d'Azur, CHU Nice, Nice, France
- Université Côte d'Azur, INSERM 1065, C3M, Nice, France
| | | | - Elisa Demonchy
- Infectious Diseases Department, Université Côte d'Azur, CHU Nice, Nice, France
| | - Michel Carles
- Université Côte d'Azur, INSERM 1065, C3M, Nice, France
- Infectious Diseases Department, Université Côte d'Azur, CHU Nice, Nice, France
| | - Pascal Delaunay
- Parasitology and Mycology Department, Université Côte d'Azur, CHU Nice, Nice, France
- Université Côte d'Azur, INSERM 1065, C3M, Nice, France
| | - Johan Courjon
- Université Côte d'Azur, INSERM 1065, C3M, Nice, France
- Infectious Diseases Department, Université Côte d'Azur, CHU Nice, Nice, France
- *Correspondence: Johan Courjon
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10
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Sevestre J, Diarra AZ, Oumarou HA, Durant J, Delaunay P, Parola P. Detection of emerging tick-borne disease agents in the Alpes-Maritimes region, southeastern France. Ticks Tick Borne Dis 2021; 12:101800. [PMID: 34352531 DOI: 10.1016/j.ttbdis.2021.101800] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 07/13/2021] [Accepted: 07/17/2021] [Indexed: 11/19/2022]
Abstract
Lyme borreliosis is a zoonotic tick-borne infection representing the most frequent vector-borne disease in the northern hemisphere. The Mediterranean rim is generally described as unsuitable for the European vector, Ixodes ricinus. We conducted an epidemiological study to assess whether I. ricinus was present and study its infection status for tick-borne bacteria. Ticks originating from southeastern France were obtained from flagging sampling and removed from animals and tick-bitten patients. Species level identification used morphological keys and MALDI-TOF MS. Quantitative PCR and sequencing assays were used to detect and identify tick-associated bacteria (Borrelia, Rickettsia, Anaplasmataceae, Bartonella, Coxiella burnetii) in each specimen. A total of 1232 ticks were collected in several localities. Among these, 863 were identified as I. ricinus (70%). Bacterial screening allowed identification of Lyme group Borrelia among I. ricinus ticks originating from various regional areas. Other emerging tick-borne pathogens like Borrelia miyamotoi and Rickettsia species were also detected. The Alpes-Maritimes region, part of the French Riviera, harbours I. ricinus ticks infected with Lyme group Borrelia and several other tick-borne bacterial agents. Clinicians and outdoor activity participants should be aware of the local Lyme borreliosis transmission risk.
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Affiliation(s)
- Jacques Sevestre
- Service de Parasitologie, Centre Hospitalier Universitaire de Nice, Nice, France; Institut Hospitalo-Universitaire Méditerranée Infection, 19-21 Boulevard Jean Moulin, Marseille 13385 Cedex 05, France; Aix-Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France
| | - Adama Zan Diarra
- Institut Hospitalo-Universitaire Méditerranée Infection, 19-21 Boulevard Jean Moulin, Marseille 13385 Cedex 05, France; Aix-Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France
| | | | - Jacques Durant
- Service d'Infectiologie, Centre Hospitalier Universitaire de Nice, Nice, France
| | - Pascal Delaunay
- Service de Parasitologie, Centre Hospitalier Universitaire de Nice, Nice, France; MIVEGEC, Université de Montpellier, Montpellier, France
| | - Philippe Parola
- Institut Hospitalo-Universitaire Méditerranée Infection, 19-21 Boulevard Jean Moulin, Marseille 13385 Cedex 05, France; Aix-Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France.
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11
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Abstract
We report patients in their homes in France who had cutaneous lesions caused by Anthrenus sp. larvae during the end of winter and into spring. These lesions mimic bites but are allergic reactions to larvae hairs pegged in the skin. These lesions should be distinguished from bites of bed bugs or fleas.
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12
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Sevestre J, Bernardi C, Gillet M, Delaunay P, Fanjat Y, Toni G, Marty P, Alunni V, Pomares C. Post-mortem diagnosis of imported malaria in France: a case report. Malar J 2021; 20:271. [PMID: 34126991 PMCID: PMC8201817 DOI: 10.1186/s12936-021-03806-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Accepted: 06/07/2021] [Indexed: 11/25/2022] Open
Abstract
Background Malaria is a potentially lethal parasitic disease due to infection by Plasmodium parasites, transmitted by Anopheles mosquito vectors. Various preventative measures may be recommended for travellers who visit endemic areas. The diagnosis is generally evoked in the context of a febrile patient returning from an endemic zone. Nevertheless, symptoms and clinical signs may be difficult to interpret, and fatal cases may only be diagnosed retrospectively with laboratory techniques, specific pathological features and patient history. The present work reports a case of fatal cerebral malaria diagnosed post-mortem, along with the techniques that allowed identification of the causative agent. Case presentation A 29 year-old male was found dead in his rental home during a vacation in Southern France. In the absence of explainable cause, an autopsy was performed, which did not retrieve major lesions. In the context of frequent business-related travels in tropical Africa, several samples were adressed for parasitological examination. Microscopy techniques, along with immunochromatographic and molecular biology assays, led to post-mortem diagnosis of fatal cerebral malaria. It was discovered in retrospect that the patient had not used preventative measures against malaria when travelling in endemic zones, and had not been provided with proper travel medicine counseling prior to his travel. Conclusion A vast proportion of imported malaria cases reported in France concerns patients who did not use preventive measures, such as bed nets, repellents or chemoprophylaxis. Given the wide availability of prevention tools in developed countries, and the important number of declared imported malaria cases, there is no doubt traveller awareness still needs to be raised. Moreover, healthcare professionals should always question travel history in febrile patients. The authors advocate for recurrent information campaigns for travellers, and physician training for a better prevention and diagnosis of malaria cases.
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Affiliation(s)
- Jacques Sevestre
- Service de Parasitologie-Mycologie, Hôpital L'Archet, Centre Hospitalier Universitaire de Nice, UCA, 151 route de Saint Antoine de Giestière, 06000, Nice, France.
| | - Caroline Bernardi
- Laboratoire de Médecine Légale Et Anthropologie Médico-Légale, Hôpital Cimiez, Centre Hospitalier Universitaire de Nice, Nice, France
| | - Morgane Gillet
- Laboratoire de Médecine Légale Et Anthropologie Médico-Légale, Hôpital Cimiez, Centre Hospitalier Universitaire de Nice, Nice, France
| | - Pascal Delaunay
- Service de Parasitologie-Mycologie, Hôpital L'Archet, Centre Hospitalier Universitaire de Nice, UCA, 151 route de Saint Antoine de Giestière, 06000, Nice, France
| | - Youta Fanjat
- Laboratoire Central D'Anatomie Pathologique, Hôpital Pasteur, Centre Hospitalier Universitaire de Nice, Nice, France
| | - Giorgio Toni
- Laboratoire Central D'Anatomie Pathologique, Hôpital Pasteur, Centre Hospitalier Universitaire de Nice, Nice, France
| | - Pierre Marty
- Service de Parasitologie-Mycologie, Hôpital L'Archet, Centre Hospitalier Universitaire de Nice, UCA, 151 route de Saint Antoine de Giestière, 06000, Nice, France
| | - Véronique Alunni
- Laboratoire de Médecine Légale Et Anthropologie Médico-Légale, Hôpital Cimiez, Centre Hospitalier Universitaire de Nice, Nice, France
| | - Christelle Pomares
- Service de Parasitologie-Mycologie, Hôpital L'Archet, Centre Hospitalier Universitaire de Nice, UCA, 151 route de Saint Antoine de Giestière, 06000, Nice, France.,Equipe 6 Virulence Microbienne Et Signalisation Inflammatoire, C3M, INSERM 1065, Nice, France
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13
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Gras M, Gras-Champel V, Moragny J, Delaunay P, Laugier D, Masmoudi K, Liabeuf S. Impact of the COVID-19 outbreak on the reporting of adverse drug reactions associated with self-medication. Ann Pharm Fr 2021; 79:522-529. [PMID: 33631179 PMCID: PMC7899020 DOI: 10.1016/j.pharma.2021.02.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 02/09/2021] [Accepted: 02/16/2021] [Indexed: 11/21/2022]
Abstract
Objectives The primary objective of the present study was to describe the characteristics of adverse drug reactions (ADRs) linked to self-medication that were notified to the French Pharmacovigilance Database (FPVD) during the COVID-19 outbreak in 2020 first wave. The secondary objective was to compare the characteristics of these ADRs in 2020 with those notified during the same calendar period a year previously. Material and methods We analyzed ADRs recorded in the FPVD between March 15th and May 31st, 2020 vs. the same dates in 2019. Only ADRs linked to self-medication were analyzed. Descriptive statistics were used to obtain an overview of the types and characteristics of these ADRs. Results Of 3114 ADRs notified to the FPVD during the COVID-19 period in 2020, 114 (3.7%) were linked to self-medication. The equivalent proportion in 2019 was 1.6% (113 out of 7097). Half of the ADRs notified in 2020 were “serious”. The median age of affected patients was 30.5, and 22% of the ADRs concerned children. Of the 114 ADRs linked to self-medication, 107 (66%) were for prescription-only drugs. The three mostly frequently suspected ATC classes were analgesics, psycholeptics, and antibacterials for systemic use. The most frequent ADRs were general disorders, gastrointestinal disorders, and nervous system disorders. The main difference between the non-COVID-19 period and the COVID-19 period was the higher proportion of medication errors during the latter. Conclusion The present study is the first to have reported on ADRs linked to self-medication and notified during a COVID-19 outbreak. Further studies of self-medication patterns and their consequences in a pandemic context are mandatory and effective information on medication use (including self-medication and its dangers) during a pandemic is essential.
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Affiliation(s)
- M Gras
- Department of Clinical Pharmacology, Amiens University Hospital, Amiens, France
| | - V Gras-Champel
- Department of Clinical Pharmacology, Amiens University Hospital, Amiens, France; MP3CV Laboratory, EA7517, Jules-Verne University of Picardie, Amiens, France
| | - J Moragny
- Department of Clinical Pharmacology, Amiens University Hospital, Amiens, France
| | - P Delaunay
- Department of Clincal Pharmacology and Vigilances, Poitiers University Hospital, Poitiers, France
| | - D Laugier
- Regional Pharmacovigilance Centre Marseille - Provence - Corse, Sainte-Marguerite Hospital, AP-HM, Marseille, France
| | - K Masmoudi
- Department of Clinical Pharmacology, Amiens University Hospital, Amiens, France
| | - S Liabeuf
- Department of Clinical Pharmacology, Amiens University Hospital, Amiens, France; MP3CV Laboratory, EA7517, Jules-Verne University of Picardie, Amiens, France.
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14
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Simon L, Delaunay P, Marty P. Painful Awakening due to Scleroderma Stings. Am J Trop Med Hyg 2021; 103:1352. [PMID: 33269682 PMCID: PMC7543848 DOI: 10.4269/ajtmh.20-0188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Affiliation(s)
- Loïc Simon
- 1Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice, Université Côte d'Azur, Nice, France
| | - Pascal Delaunay
- 1Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice, Université Côte d'Azur, Nice, France.,2MIVEGEC, UMR IRD 224-CNRS 5290-Université de Montpellier, Montpellier, France
| | - Pierre Marty
- 1Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice, Université Côte d'Azur, Nice, France.,3Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, Nice, France
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15
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Affiliation(s)
- Pascal Delaunay
- Département de Parasitologie-Mycologie Centre Hospitalier Universitaire de Nice, France, Inserm U1065 Centre Méditerranéen de Médecine Moléculaire, Nice, France
| | - Michael Benzaquen
- Department of Dermatology, Inselspital - Bern University Hospital, Bern, Switzerland
| | - Jean-Michel Berenger
- IHU-Méditerranée Infection, Marseille, France.,Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France
| | - Philippe Parola
- IHU-Méditerranée Infection, Marseille, France.,Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France
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16
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Yera H, Ok V, Lee Koy Kuet F, Dahane N, Ariey F, Hasseine L, Delaunay P, Martiano D, Marty P, Bourges JL. PCR and culture for diagnosis of Acanthamoeba keratitis. Br J Ophthalmol 2020; 105:1302-1306. [DOI: 10.1136/bjophthalmol-2020-316730] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Revised: 08/11/2020] [Accepted: 10/03/2020] [Indexed: 11/03/2022]
Abstract
Background/AimsAcanthamoeba keratitis (AK) is a rare but sight-threatening infection. Molecular diagnosis of corneal scraping has improved the diagnosis of AK. Different molecular targets and conditions have been used in diagnosis thus far. In this study, we prospectively compared the performance of five PCR assays on corneal samples for the diagnosis of AK.Methods1217 corneal scraping samples were obtained from patients, for whom an AK was suspected. Sample processing involved both molecular diagnostics and culture. Acanthamoeba PCR assays detected different regions of the Acanthamoeba nuclear small-subunit rRNA gene: three final point PCR assays using Nelson, ACARNA and JDP1–JDP2 pairs of primers, and two real-time PCR assays using Acant primer-probe. Human DNA and internal control were co-amplified in the real-time PCR assay to ensure scraping quality and the absence of inhibitors. In the absence of a gold standard, the performance of each test was evaluated using latent class analysis. Genotypes of Acanthamoeba isolates were also characterised.ResultsEstimated prevalence of AK was 1.32%. The sensitivity of Acanthamoeba diagnostic PCRs (73.3% to 86.7%) did not differ significantly from that of culture (66.7%), or according to the target sequence or the technology. Sensitivity could be increased to 93.8% or 100% by combining two or three assays, respectively. PCR specificity (99.3% to 100%) differed between the assays. T4 was the predominant Acanthamoeba genotype (84.6%).ConclusionsCulture and a single PCR assay could lead to misdiagnosing AK. A combination of different PCR assays and improved sample quality could increase diagnosis sensitivity.
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17
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Debarbieux S, Delaunay P, Raymond C, Dupont D, Persat F. Unusual location for bedbugs. Clin Microbiol Infect 2020; 26:895-896. [DOI: 10.1016/j.cmi.2020.01.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Revised: 01/09/2020] [Accepted: 01/11/2020] [Indexed: 11/26/2022]
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18
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Akhoundi M, Sereno D, Durand R, Mirzaei A, Bruel C, Delaunay P, Marty P, Izri A. Bed Bugs (Hemiptera, Cimicidae): Overview of Classification, Evolution and Dispersion. Int J Environ Res Public Health 2020; 17:E4576. [PMID: 32630433 PMCID: PMC7345932 DOI: 10.3390/ijerph17124576] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 06/11/2020] [Accepted: 06/12/2020] [Indexed: 11/24/2022]
Abstract
The bed bugs (Cimex lectularius and C. hemipterus) have undergone a significant resurgence worldwide since the 1990s. A compilation of findings from a database, including 2650 scientific publications from seven major medical databases, allowed us to document main evolutionary events, from fossil evidence, dating from 11,000 years ago, until the present that has led to the current worldwide expansion of Cimicid species. We present the hypotheses on the possible dispersion pathways of bed bugs in light of the major historical and evolutionary events. A detailed classification of the Cimicidae family and finally, an illustrative map displaying the current distribution of known Cimex species in each geographical ecozone of Asia, Europe, Africa, the Americas, and Australia are presented.
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Affiliation(s)
- Mohammad Akhoundi
- Parasitology-Mycology Department, Avicenne Hospital, AP-HP, Sorbonne Paris Nord University, 93000 Bobigny, France; (R.D.); (A.I.)
| | - Denis Sereno
- Institut de Recherche pour le Développement, Montpellier University, MIVEGEC, 34032 Montpellier, France; (D.S.); (P.D.)
- Institut de Recherche pour le Développement, Montpellier University, InterTryp, 34032 Montpellier, France
| | - Remy Durand
- Parasitology-Mycology Department, Avicenne Hospital, AP-HP, Sorbonne Paris Nord University, 93000 Bobigny, France; (R.D.); (A.I.)
| | - Asad Mirzaei
- Parasitology Department, Paramedical School, Ilam University of Medical Sciences, 6931851147 Ilam, Iran;
- Zoonotic Diseases Research Center, Ilam University of Medical Sciences, 6931851147 Ilam, Iran
| | - Christiane Bruel
- Agence Régionale de Santé (ARS) Île-de-France, 75935 Paris 19, France;
| | - Pascal Delaunay
- Institut de Recherche pour le Développement, Montpellier University, MIVEGEC, 34032 Montpellier, France; (D.S.); (P.D.)
- Service Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice (CHU Nice), 06202 Nice, France;
| | - Pierre Marty
- Service Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice (CHU Nice), 06202 Nice, France;
- Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, C3 M, Université Côte d’Azur, 06204 Nice, France
| | - Arezki Izri
- Parasitology-Mycology Department, Avicenne Hospital, AP-HP, Sorbonne Paris Nord University, 93000 Bobigny, France; (R.D.); (A.I.)
- Unité des Virus Emergents (UVE: Aix Marseille Univ, IRD 190, INSERM 1207, IHU Méditerranée Infection), 13005 Marseille, France
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19
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Massamba L, Madamet M, Benoit N, Chevalier A, Fonta I, Mondain V, Jeandel PY, Amalvict R, Delaunay P, Mosnier J, Marty P, Pomares C, Pradines B. Late clinical failure associated with cytochrome b codon 268 mutation during treatment of falciparum malaria with atovaquone-proguanil in traveller returning from Congo. Malar J 2020; 19:37. [PMID: 31964401 PMCID: PMC6975030 DOI: 10.1186/s12936-020-3126-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 01/16/2020] [Indexed: 12/17/2022] Open
Abstract
Background The drug combination atovaquone–proguanil, is recommended for treatment of uncomplicated falciparum malaria in France. Despite high efficacy, atovaquone–proguanil treatment failures have been reported. Resistance to cycloguanil, the active metabolite of proguanil, is conferred by multiple mutations in the Plasmodium falciparum dihydrofolate reductase (pfdhfr) and resistance to atovaquone by single mutation on codon 268 of the cytochrome b gene (pfcytb). Case presentation A 47-year-old female, native from Congo and resident in France, was admitted in hospital for uncomplicated falciparum malaria with parasitaemia of 0.5%, after travelling in Congo (Brazzaville and Pointe Noire). She was treated with atovaquone–proguanil (250 mg/100 mg) 4 tablets daily for 3 consecutive days. On day 5 after admission she was released home. However, many weeks after this episode, without having left France, she again experienced fever and intense weakness. On day 39 after the beginning of treatment, she consulted for fever, arthralgia, myalgia, photophobia, and blurred vision. She was hospitalized for uncomplicated falciparum malaria with a parasitaemia of 0.375% and treated effectively by piperaquine–artenimol (320 mg/40 mg) 3 tablets daily for 3 consecutive days. Resistance to atovaquone–proguanil was suspected. The Y268C mutation was detected in all of the isolates tested (D39, D42, D47). The genotyping of the pfdhfr gene showed a triple mutation (N51I, C59R, S108N) involved in cycloguanil resistance. Conclusion This is the first observation of a late clinical failure of atovaquone–proguanil treatment of P. falciparum uncomplicated malaria associated with pfcytb 268 mutation in a traveller returning from Congo. These data confirm that the Y268C mutation is associated with delayed recrudescence 4 weeks or more after initial treatment. Although atovaquone–proguanil treatment failures remain rare, an increased surveillance is required. It is essential to declare and publish all well-documented cases of treatment failures because it is the only way to evaluate the level of resistance to atovaquone.
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Affiliation(s)
- Laurencie Massamba
- Parasitologie Mycologie, Centre Hospitalo-Universitaire de Nice, Université de la Côte d'Azur, Nice, France
| | - Marylin Madamet
- Unité Parasitologie et entomologie, Département de Microbiologie et de maladies infectieuses, Institut de recherche biomédicale des armées, Marseille, France.,Aix Marseille Université, IRD, SSA, AP-HM, VITROME, Marseille, France.,IHU Méditerranée Infection, Marseille, France.,Centre national de référence du Paludisme, Marseille, France
| | - Nicolas Benoit
- Unité Parasitologie et entomologie, Département de Microbiologie et de maladies infectieuses, Institut de recherche biomédicale des armées, Marseille, France.,Aix Marseille Université, IRD, SSA, AP-HM, VITROME, Marseille, France.,IHU Méditerranée Infection, Marseille, France.,Centre national de référence du Paludisme, Marseille, France
| | - Alicia Chevalier
- Parasitologie Mycologie, Centre Hospitalo-Universitaire de Nice, Université de la Côte d'Azur, Nice, France
| | - Isabelle Fonta
- Unité Parasitologie et entomologie, Département de Microbiologie et de maladies infectieuses, Institut de recherche biomédicale des armées, Marseille, France.,Aix Marseille Université, IRD, SSA, AP-HM, VITROME, Marseille, France.,IHU Méditerranée Infection, Marseille, France.,Centre national de référence du Paludisme, Marseille, France
| | - Véronique Mondain
- Infectiologie, Centre Hospitalo-Universitaire de Nice, Université de la Côte d'Azur, Nice, France
| | - Pierre-Yves Jeandel
- Service de Médecine Interne, Centre Hospitalier Universitaire de Nice, Nice, France
| | - Rémy Amalvict
- Unité Parasitologie et entomologie, Département de Microbiologie et de maladies infectieuses, Institut de recherche biomédicale des armées, Marseille, France.,Aix Marseille Université, IRD, SSA, AP-HM, VITROME, Marseille, France.,IHU Méditerranée Infection, Marseille, France.,Centre national de référence du Paludisme, Marseille, France
| | - Pascal Delaunay
- Parasitologie Mycologie, Centre Hospitalo-Universitaire de Nice, Université de la Côte d'Azur, Nice, France.,MIVEGEC, UMR IRD 224-CNRS 5290-Université de Montpellier, Montpellier, France
| | - Joel Mosnier
- Unité Parasitologie et entomologie, Département de Microbiologie et de maladies infectieuses, Institut de recherche biomédicale des armées, Marseille, France.,Aix Marseille Université, IRD, SSA, AP-HM, VITROME, Marseille, France.,IHU Méditerranée Infection, Marseille, France.,Centre national de référence du Paludisme, Marseille, France
| | - Pierre Marty
- Parasitologie Mycologie, Centre Hospitalo-Universitaire de Nice, Université de la Côte d'Azur, Nice, France.,INSERM, U1065, Centre Méditerranéen de Médecine Moléculaire, Faculté de Médecine, Virulence microbienne et signalisation inflammatoire, Nice, France
| | - Christelle Pomares
- Parasitologie Mycologie, Centre Hospitalo-Universitaire de Nice, Université de la Côte d'Azur, Nice, France.,INSERM, U1065, Centre Méditerranéen de Médecine Moléculaire, Faculté de Médecine, Virulence microbienne et signalisation inflammatoire, Nice, France
| | - Bruno Pradines
- Unité Parasitologie et entomologie, Département de Microbiologie et de maladies infectieuses, Institut de recherche biomédicale des armées, Marseille, France. .,Aix Marseille Université, IRD, SSA, AP-HM, VITROME, Marseille, France. .,IHU Méditerranée Infection, Marseille, France. .,Centre national de référence du Paludisme, Marseille, France.
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Delaunay P, Hérisé A, Hasseine L, Chiaverini C, Tran A, Mary C, Del Giudice P, Marty P, Akhoundi M, Hubiche T. Testing a possible new way to diagnose scabies. Br J Dermatol 2020. [DOI: 10.1111/bjd.18663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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21
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Delaunay P, Hérisé A, Hasseine L, Chiaverini C, Tran A, Mary C, Del Giudice P, Marty P, Akhoundi M, Hubiche T. 测试一种可能的新的疥疮诊断方法. Br J Dermatol 2020. [DOI: 10.1111/bjd.18680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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22
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Delaunay P, Hérissé A, Hasseine L, Chiaverini C, Tran A, Mary C, Del Giudice P, Marty P, Akhoundi M, Hubiche T. Scabies polymerase chain reaction with standardized dry swab sampling: an easy tool for cluster diagnosis of human scabies. Br J Dermatol 2019; 182:197-201. [DOI: 10.1111/bjd.18017] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/16/2019] [Indexed: 11/27/2022]
Affiliation(s)
- P. Delaunay
- Parasitologie‐Mycologie Hôpital de l'Archet Centre Hospitalier Universitaire de Nice Nice France
- MIVEGEC UMR IRD 224‐CNRS 5290‐Université de Montpellier Montpellier France
| | - A.L. Hérissé
- Parasitologie‐Mycologie Hôpital de l'Archet Centre Hospitalier Universitaire de Nice Nice France
- Urgences Pédiatriques Centre Hospitalier Universitaire Hôpital Pédiatrique Lenval Nice France
| | - L. Hasseine
- Parasitologie‐Mycologie Hôpital de l'Archet Centre Hospitalier Universitaire de Nice Nice France
| | - C. Chiaverini
- Dermatologie Hôpital de l'Archet Centre Hospitalier Universitaire de Nice Nice France
| | - A. Tran
- Urgences Pédiatriques Centre Hospitalier Universitaire Hôpital Pédiatrique Lenval Nice France
| | - C. Mary
- Parasitologie‐Mycologie Assistance Publique des Hôpitaux de Marseille Hôpital de La Timone Marseille France
| | | | - P. Marty
- Parasitologie‐Mycologie Hôpital de l'Archet Centre Hospitalier Universitaire de Nice Nice France
- Inserm U1065 Centre Méditerranéen de Médecine Moléculaire Université Nice‐Sophia Antipolis Nice France
| | - M. Akhoundi
- Parasitologie‐Mycologie Hôpital de l'Archet Centre Hospitalier Universitaire de Nice Nice France
- MIVEGEC UMR IRD 224‐CNRS 5290‐Université de Montpellier Montpellier France
| | - T. Hubiche
- Dermatologie Hôpital de l'Archet Centre Hospitalier Universitaire de Nice Nice France
- Infectiologie‐Dermatologie Hôpital Bonnet Fréjus France
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Argemi X, Etienne C, Alberti J, Ruyer O, Barrelet A, Delaunay P, Chidiac C, Bleibtreu A, Colin-de-Verdière N, Rapp C. Paludisme d’importation à P. falciparum associé à la consommation d’Artemisia à visée prophylactique : une alerte de santé publique. Med Mal Infect 2019. [DOI: 10.1016/j.medmal.2019.04.060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Charrel RN, Berenger JM, Laroche M, Ayhan N, Bitam I, Delaunay P, Parola P. Neglected vector-borne bacterial diseases and arboviruses in the Mediterranean area. New Microbes New Infect 2018; 26:S31-S36. [PMID: 30402241 PMCID: PMC6205580 DOI: 10.1016/j.nmni.2018.08.015] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2018] [Revised: 08/19/2018] [Accepted: 08/21/2018] [Indexed: 12/18/2022] Open
Abstract
Arthropod vectors can transmit pathogenic microorganisms from one vertebrate to another during their blood meal. Although some vector-borne diseases have been eradicated in the Mediterranean area, such as malaria and dengue, recent endemic microorganisms (Toscana virus, Rickettsia spp.) remain neglected even though they cause many more cases. New diagnostic tools and innovative tools for the identification and characterization of vector species and microorganisms have been developed at IHU Méditerranée Infection, either internally or through collaborative and integrated projects. We have detected Rickettsia slovaca as a human pathogen and have described the disease; we have shown that Rickettsia felis can be transmitted by Anopheles mosquitoes; we have emphasized the increasing importance of bedbug (Cimex lectularius) as a potential vector of Bartonella quintana; and we have described the Toscana virus, a major agent of meningitis and meningoencephalitis which was disseminated in North Africa and Central and Eastern Europe, where it frequently cocirculates with a large number of newly described phleboviruses transmitted by sand flies.
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Affiliation(s)
- R N Charrel
- Unite des Virus Emergents, IRD 190, INSERM 1207, IHU Méditerranée Infection, Aix-Marseille Université, Marseille, France
| | - J-M Berenger
- IRD, AP-HM, SSA, VITROME, IHU Méditerranée Infection, Aix-Marseille Université, Marseille, France
| | - M Laroche
- IRD, AP-HM, SSA, VITROME, IHU Méditerranée Infection, Aix-Marseille Université, Marseille, France
| | - N Ayhan
- Unite des Virus Emergents, IRD 190, INSERM 1207, IHU Méditerranée Infection, Aix-Marseille Université, Marseille, France
| | - I Bitam
- IRD, AP-HM, SSA, VITROME, IHU Méditerranée Infection, Aix-Marseille Université, Marseille, France
| | - P Delaunay
- Laboratory of Parasitology and Mycology, Centre Hospitalier Universitaire de Nice, Hôpital de l'Archet, Nice, France.,MIVEGEC, UMR IRD224-CNRS5290, Université de Montpellier, Montpellier, France
| | - P Parola
- IRD, AP-HM, SSA, VITROME, IHU Méditerranée Infection, Aix-Marseille Université, Marseille, France
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25
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Laroche M, Bérenger JM, Delaunay P, Charrel R, Pradines B, Berger F, Ranque S, Bitam I, Davoust B, Raoult D, Parola P. Medical Entomology: A Reemerging Field of Research to Better Understand Vector-Borne Infectious Diseases. Clin Infect Dis 2018; 65:S30-S38. [PMID: 28859353 DOI: 10.1093/cid/cix463] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
In the last decade, the Chikungunya and Zika virus outbreaks have turned public attention to the possibility of the expansion of vector-borne infectious diseases worldwide. Medical entomology is focused on the study of arthropods involved in human health. We review here some of the research approaches taken by the medical entomology team of the University Hospital Institute (UHI) Méditerranée Infection of Marseille, France, with the support of recent or representative studies. We propose our approaches to technical innovations in arthropod identification and the detection of microorganisms in arthropods, the use of arthropods as epidemiological or diagnostic tools, entomological investigations around clinical cases or within specific populations, and how we have developed experimental models to decipher the interactions between arthropods, microorganisms, and humans.
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Affiliation(s)
- Maureen Laroche
- Aix Marseille Université, CNRS 7278, IRD 198 (Dakar, Sénégal), Inserm 1095, Assistance Publique-Hôpitaux de Marseille (AP-HM), Unité de Recherche en Maladies Infectieuses et Tropicales Emergentes (URMITE), IHU Méditerranée Infection, Marseille
| | - Jean-Michel Bérenger
- Aix Marseille Université, CNRS 7278, IRD 198 (Dakar, Sénégal), Inserm 1095, Assistance Publique-Hôpitaux de Marseille (AP-HM), Unité de Recherche en Maladies Infectieuses et Tropicales Emergentes (URMITE), IHU Méditerranée Infection, Marseille
| | - Pascal Delaunay
- Service de Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, Université de Nice-Sophia Antipolis
| | - Remi Charrel
- UMR "Emergence des Pathologies Virales" (EPV: Aix-Marseille Université, IRD 190, Inserm 1207, EHESP), AP-HM, IHU Méditerranée Infection
| | - Bruno Pradines
- Aix Marseille Université, CNRS 7278, IRD 198 (Dakar, Sénégal), Inserm 1095, Assistance Publique-Hôpitaux de Marseille ( AP-HM), Unité de Recherche en Maladies Infectieuses et Tropicales Emergentes (URMITE), IHU Méditerranée Infection, Marseille.,Unité Parasitologie et Entomologie, Institut de Recherche Biomédicale des Armées.,Centre National de Référence du Paludisme
| | - Franck Berger
- GSBDD Marseille-Aubagne, Centre d'épidémiologie et de santé publique des armées, Marseille, France
| | - Stéphane Ranque
- Aix Marseille Université, CNRS 7278, IRD 198 (Dakar, Sénégal), Inserm 1095, Assistance Publique-Hôpitaux de Marseille (AP-HM), Unité de Recherche en Maladies Infectieuses et Tropicales Emergentes (URMITE), IHU Méditerranée Infection, Marseille
| | - Idir Bitam
- Laboratoire Biodiversité et Environnement: Interactions Génomes, Faculté des Sciences Biologiques Université des Sciences et de la Technologie Houari Boumediene, Bab Ezzouar, Algeria
| | - Bernard Davoust
- Aix Marseille Université, CNRS 7278, IRD 198 (Dakar, Sénégal), Inserm 1095, Assistance Publique-Hôpitaux de Marseille (AP-HM), Unité de Recherche en Maladies Infectieuses et Tropicales Emergentes (URMITE), IHU Méditerranée Infection, Marseille
| | - Didier Raoult
- Aix Marseille Université, CNRS 7278, IRD 198 (Dakar, Sénégal), Inserm 1095, Assistance Publique-Hôpitaux de Marseille (AP-HM), Unité de Recherche en Maladies Infectieuses et Tropicales Emergentes (URMITE), IHU Méditerranée Infection, Marseille
| | - Philippe Parola
- Aix Marseille Université, CNRS 7278, IRD 198 (Dakar, Sénégal), Inserm 1095, Assistance Publique-Hôpitaux de Marseille (AP-HM), Unité de Recherche en Maladies Infectieuses et Tropicales Emergentes (URMITE), IHU Méditerranée Infection, Marseille
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26
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Akhoundi M, Jourdain F, Chandre F, Delaunay P, Roiz D. Effectiveness of a field trap barrier system for controlling Aedes albopictus: a "removal trapping" strategy. Parasit Vectors 2018; 11:101. [PMID: 29463300 PMCID: PMC5819175 DOI: 10.1186/s13071-018-2691-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Accepted: 01/31/2018] [Indexed: 12/26/2022] Open
Abstract
Background Aedes aegypti and Aedes albopictus are the main vectors for the transmission of several viral pathogens, in particular, dengue, Zika and chikungunya. In the absence of vaccines and treatment, control of Aedes mosquitoes is the only means of keeping these diseases in check. Aedes control is difficult, and it is, therefore, necessary to evaluate the efficacy of novel control methods, particularly those targeting adult and exophilic Ae. albopictus populations. Methods We carried out the first evaluation of the effectiveness of a field trap barrier system, i.e. a “removal trapping” outdoor control strategy for Ae. albopictus in southern France. Results The removal trapping control strategy is an effective system, able to reduce to almost zero the biting rate of the tiger mosquito in and around houses with traps installed. This strategy has the advantage of being a non-chemical method, which is environmentally friendly and does not affect non-target fauna. Nevertheless, it has several constraints including the cost of the CO2 required for the system to function. However, the system could be optimized by reducing the costs and combining it with other control strategies within the framework of integrated vector management. Conclusions We provide the first evidence of the effectiveness of this trap barrier system, which is based on the combined effect of (i) removing adult mosquitoes living in the area, and (ii) hampering the migration of mosquitoes from outside into the treated area. Further investigation is needed to understand its efficacy for other species, other locations and at-risk communities, and to evaluate its application for reducing the prevalence of dengue, Zika and chikungunya diseases. Electronic supplementary material The online version of this article (10.1186/s13071-018-2691-1) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Mohammad Akhoundi
- Service Parasitologie-Mycologie, Hôpital de l'Archet, CHU de Nice, Nice, France. .,MIVEGEC, UMR IRD224-CNRS5290-Université de Montpellier, Montpellier, France.
| | | | - Fabrice Chandre
- MIVEGEC, UMR IRD224-CNRS5290-Université de Montpellier, Montpellier, France.,Centre National d'Expertise sur les Vecteurs, Montpellier, France
| | - Pascal Delaunay
- Service Parasitologie-Mycologie, Hôpital de l'Archet, CHU de Nice, Nice, France.,MIVEGEC, UMR IRD224-CNRS5290-Université de Montpellier, Montpellier, France
| | - David Roiz
- MIVEGEC, UMR IRD224-CNRS5290-Université de Montpellier, Montpellier, France
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27
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Simon L, Delaunay P, Martinez JP, Hubiche T, Del Giudice P. Intensive cutaneous myiasis due to Musca domestica in a patient with Alzheimer disease: a rare larval infestation in a temperate zone. Clin Exp Dermatol 2017; 43:342-344. [PMID: 29105863 DOI: 10.1111/ced.13291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/05/2017] [Indexed: 11/28/2022]
Affiliation(s)
- L Simon
- Laboratory of Parasitology and Mycology, Centre Hospitalier Universitaire de Nice, Hôpital de l'Archet, Nice, France
| | - P Delaunay
- Laboratory of Parasitology and Mycology, Centre Hospitalier Universitaire de Nice, Hôpital de l'Archet, Nice, France.,MIVEGEC, UMR IRD224 - CNRS 5290 - Université de Montpellier, Montpellier, France
| | - J P Martinez
- Geriatric Medicine, Centre Hospitalier Intercommunal de Fréjus Saint-Raphaël, Fréjus, France
| | - T Hubiche
- Department of Dermatology and Infectiology, Centre Hospitalier Intercommunal de Fréjus Saint-Raphaël, Fréjus, France
| | - P Del Giudice
- Department of Dermatology and Infectiology, Centre Hospitalier Intercommunal de Fréjus Saint-Raphaël, Fréjus, France
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28
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Sow D, Parola P, Sylla K, Ndiaye M, Delaunay P, Halfon P, Camiade S, Dieng T, Tine RCK, Faye B, Ndiaye JL, Dieng Y, Gaye O, Raoult D, Bittar F. Performance of Real-Time Polymerase Chain Reaction Assays for the Detection of 20 Gastrointestinal Parasites in Clinical Samples from Senegal. Am J Trop Med Hyg 2017; 97:173-182. [PMID: 28719290 DOI: 10.4269/ajtmh.16-0781] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Gastrointestinal parasite infections represent one of the biggest public health problems in the world. Therefore, appropriate innovative tools are needed for assessing interventions to control these infections. This study aims to compare the performance of real-time polymerase chain reaction (PCR) assays to microscopic examination for detection of intestinal parasites. A direct microscopic examination and stool concentration was performed on 98 stool samples from patients attending Senegalese hospitals. Negative microscopic control samples were also collected in Nice and Marseille (France). Species-specific primers/probes were used to detect 20 common gastrointestinal protozoans and helminths. Positive frequency and the sensitivity of each real-time PCR assay were compared with conventional microscopic examination. Real-time PCR was positive in 72 of 98 samples (73.5%), whereas microscopic examination was positive in 37 (37.7%) samples (P < 0.001). The real-time PCR assays were more sensitive than microscopy, with 57.4% (31/54) versus 18.5% (10/54), respectively, in the detection of parasites in asymptomatic patients (P < 0.05). In terms of polyparasitism, there were more coinfections detected by real-time PCR assays compared with microscopic methods (25.5% versus 3.06%). In comparison to parasite prevalence on individual samples, the results showed a perfect agreement (100%) between the two techniques for seven species, whereas discrepancies were observed for the others (agreement percentage varying from 64.2% to 98.9%). Real-time PCR appeared to be superior to microscopic examination for the detection of parasites in stool samples. This assay will be useful in diagnostic laboratories and in the field for evaluating the efficacy of mass drug administration programs.
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Affiliation(s)
- Doudou Sow
- Aix Marseille Université, URMITE, UM63, CNRS 7278, IRD 198, INSERM 1095, IHU - Méditerranée Infection, Marseille, France.,Service de Parasitologie-Mycologie, Faculté de Médecine, Université Cheikh Anta Diop (UCAD), Dakar, Senegal
| | - Philippe Parola
- Aix Marseille Université, URMITE, UM63, CNRS 7278, IRD 198, INSERM 1095, IHU - Méditerranée Infection, Marseille, France
| | - Khadime Sylla
- Service de Parasitologie-Mycologie, Faculté de Médecine, Université Cheikh Anta Diop (UCAD), Dakar, Senegal
| | - Magatte Ndiaye
- Service de Parasitologie-Mycologie, Faculté de Médecine, Université Cheikh Anta Diop (UCAD), Dakar, Senegal
| | - Pascal Delaunay
- Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, France - MIVEGEC, UMR IRD224 -CNRS 5290-Université de Montpellier, Montpellier Cedex 5, France
| | | | - Sabine Camiade
- Laboratoire Alphabio Hôpital Européen, Marseille, France
| | - Thérèse Dieng
- Service de Parasitologie-Mycologie, Faculté de Médecine, Université Cheikh Anta Diop (UCAD), Dakar, Senegal
| | - Roger C K Tine
- Service de Parasitologie-Mycologie, Faculté de Médecine, Université Cheikh Anta Diop (UCAD), Dakar, Senegal
| | - Babacar Faye
- Service de Parasitologie-Mycologie, Faculté de Médecine, Université Cheikh Anta Diop (UCAD), Dakar, Senegal
| | - Jean Louis Ndiaye
- Service de Parasitologie-Mycologie, Faculté de Médecine, Université Cheikh Anta Diop (UCAD), Dakar, Senegal
| | - Yémou Dieng
- Service de Parasitologie-Mycologie, Faculté de Médecine, Université Cheikh Anta Diop (UCAD), Dakar, Senegal
| | - Oumar Gaye
- Service de Parasitologie-Mycologie, Faculté de Médecine, Université Cheikh Anta Diop (UCAD), Dakar, Senegal
| | - Didier Raoult
- Aix Marseille Université, URMITE, UM63, CNRS 7278, IRD 198, INSERM 1095, IHU - Méditerranée Infection, Marseille, France
| | - Fadi Bittar
- Aix Marseille Université, URMITE, UM63, CNRS 7278, IRD 198, INSERM 1095, IHU - Méditerranée Infection, Marseille, France
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Persichetti MF, Solano-Gallego L, Vullo A, Masucci M, Marty P, Delaunay P, Vitale F, Pennisi MG. Diagnostic performance of ELISA, IFAT and Western blot for the detection of anti-Leishmania infantum antibodies in cats using a Bayesian analysis without a gold standard. Parasit Vectors 2017; 10:119. [PMID: 28285598 PMCID: PMC5346856 DOI: 10.1186/s13071-017-2046-3] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2017] [Accepted: 02/17/2017] [Indexed: 11/12/2022] Open
Abstract
Background Anti-Leishmania antibodies are increasingly investigated in cats for epidemiological studies or for the diagnosis of clinical feline leishmaniosis. The immunofluorescent antibody test (IFAT), the enzyme-linked immunosorbent assay (ELISA) and western blot (WB) are the serological tests more frequently used. The aim of the present study was to assess diagnostic performance of IFAT, ELISA and WB to detect anti-L. infantum antibodies in feline serum samples obtained from endemic (n = 76) and non-endemic (n = 64) areas and from cats affected by feline leishmaniosis (n = 21) by a Bayesian approach without a gold standard. Methods Cut-offs were set at 80 titre for IFAT and 40 ELISA units for ELISA. WB was considered positive in presence of at least a 18 KDa band. Statistical analysis was performed through a written routine with MATLAB software in the Bayesian framework. The latent data and observations from the joint posterior were simulated in the Bayesian approach by an iterative Markov Chain Monte Carlo technique using the Gibbs sampler for estimating sensitivity and specificity of the three tests. Results The median seroprevalence in the sample used for evaluating the performance of tests was estimated at 0.27 [credible interval (CI) = 0.20–0.34]. The median sensitivity of the three different methods was 0.97 (CI: 0.86–1.00), 0.75 (CI: 0.61–0.87) and 0.70 (CI: 0.56–0.83) for WB, IFAT and ELISA, respectively. Median specificity reached 0.99 (CI: 0.96–1.00) with WB, 0.97 (CI: 0.93–0.99) with IFAT and 0.98 (CI: 0.94–1.00) with ELISA. IFAT was more sensitive than ELISA (75 vs 70%) for the detection of subclinical infection while ELISA was better for diagnosing clinical leishmaniosis when compared with IFAT (98 vs 97%). Conclusions The overall performance of all serological techniques was good and the most accurate test for anti-Leishmania antibody detection in feline serum samples was WB.
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Affiliation(s)
- Maria Flaminia Persichetti
- Istituto Zooprofilattico Sperimentale della Sicilia, A. Mirri, Via G. Marinuzzi 3, Palermo, 90129, Italy
| | - Laia Solano-Gallego
- Departament de Medicina i Cirurgia Animals. Facultat de Veterinària, Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola, 08193, Barcelona, Spain
| | - Angela Vullo
- Istituto Zooprofilattico Sperimentale della Sicilia, A. Mirri, Via G. Marinuzzi 3, Palermo, 90129, Italy
| | - Marisa Masucci
- Dipartimento di Scienze Veterinarie, Università degli Studi di Messina , Polo Universitario Annunziata, Messina, 98168, Italy
| | - Pierre Marty
- Centre Hospitalier Universitaire de Nice, Faculté de Médecine, Université de Nice-Sophia Antipolis, Inserm U 1065, Hôpital de l'Archet, 151, route de Saint Antoine de Ginestière, CS 23079 06202, Nice Cedex 3, France
| | - Pascal Delaunay
- Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, France-MIVEGEC, UMR IRD224 - CNRS 5290 - Université de Montpellier, Montpellier Cedex 5, France
| | - Fabrizio Vitale
- Centro di Referenza Nazionale per le Leishmaniosi (C.Re.Na.L), Istituto Zooprofilattico Sperimentale della Sicilia, A. Mirri, Via G. Marinuzzi 3, Palermo, 90129, Italy
| | - Maria Grazia Pennisi
- Dipartimento di Scienze Veterinarie, Università degli Studi di Messina , Polo Universitario Annunziata, Messina, 98168, Italy.
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Cannet A, Akhoundi M, Michel G, Marty P, Delaunay P. Experimental infection of Phlebotomus perniciosus by bioluminescent Leishmania infantum using murine model and artificial feeder. Mem Inst Oswaldo Cruz 2017; 111:495-500. [PMID: 27439032 PMCID: PMC4981113 DOI: 10.1590/0074-02760160100] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2016] [Accepted: 06/21/2016] [Indexed: 11/22/2022] Open
Abstract
Leishmaniasis is a vector-borne disease that is transmitted by sandflies and caused by obligate intracellular protozoa of the genus Leishmania. In the present study, we carried out a screening on the experimental infection of Phlebotomus pernioucus by bioluminescent Leishmania infantum using murine model and artificial feeder. We developed a real-time polymerase chain reaction (RT-PCR)-based method to determine individually the number of Leishmania promastigotes fed by infected flies. Among 1840 new emerged female sand flies, 428 were fed on the infected mice. After their death, they were analysed individually by RT-PCR. Our results demonstrated just a single Leishmania positive female at sixth day post meal. A total of 1070 female sand flies were exposed in contact with artificial feeder containing the human blood with two different quantities of Leishmania parasites: 2.106/mL and 1.107/mL. A blood meal including 1.107/mL LUC-promastigotes was proposed to 270 females and 75 (28%) flies were engorged. Among them, 44 (59%) were positive by RT-PCR analysis, with a relative average of 50551 Leishmania parasites. In case of blood feeding of females with 2.106/mL promastigotes, 57 out of 800 (7%) females succeed to feed from artificial feeder which 22 (39%) were positive with a relative average of 6487 parasites.
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Affiliation(s)
- Arnaud Cannet
- Université de Nice-Sophia Antipolis, Centre Méditerranéen de Médecine Moléculaire, Nice, France
| | - Mohammad Akhoundi
- Centre Hospitalier Universitaire de Nice, Hôpital de l'Archet, Service de Parasitologie-Mycologie, Nice, France
| | - Gregory Michel
- Université de Nice-Sophia Antipolis, Centre Méditerranéen de Médecine Moléculaire, Nice, France
| | - Pierre Marty
- Université de Nice-Sophia Antipolis, Centre Méditerranéen de Médecine Moléculaire, Nice, France.,Centre Hospitalier Universitaire de Nice, Hôpital de l'Archet, Service de Parasitologie-Mycologie, Nice, France
| | - Pascal Delaunay
- Université de Nice-Sophia Antipolis, Centre Méditerranéen de Médecine Moléculaire, Nice, France.,Centre Hospitalier Universitaire de Nice, Hôpital de l'Archet, Service de Parasitologie-Mycologie, Nice, France
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Akhoundi M, Downing T, Votýpka J, Kuhls K, Lukeš J, Cannet A, Ravel C, Marty P, Delaunay P, Kasbari M, Granouillac B, Gradoni L, Sereno D. Leishmania infections: Molecular targets and diagnosis. Mol Aspects Med 2017; 57:1-29. [PMID: 28159546 DOI: 10.1016/j.mam.2016.11.012] [Citation(s) in RCA: 175] [Impact Index Per Article: 25.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Revised: 11/08/2016] [Accepted: 11/28/2016] [Indexed: 12/15/2022]
Abstract
Progress in the diagnosis of leishmaniases depends on the development of effective methods and the discovery of suitable biomarkers. We propose firstly an update classification of Leishmania species and their synonymies. We demonstrate a global map highlighting the geography of known endemic Leishmania species pathogenic to humans. We summarize a complete list of techniques currently in use and discuss their advantages and limitations. The available data highlights the benefits of molecular markers in terms of their sensitivity and specificity to quantify variation from the subgeneric level to species complexes, (sub) species within complexes, and individual populations and infection foci. Each DNA-based detection method is supplied with a comprehensive description of markers and primers and proposal for a classification based on the role of each target and primer in the detection, identification and quantification of leishmaniasis infection. We outline a genome-wide map of genes informative for diagnosis that have been used for Leishmania genotyping. Furthermore, we propose a classification method based on the suitability of well-studied molecular markers for typing the 21 known Leishmania species pathogenic to humans. This can be applied to newly discovered species and to hybrid strains originating from inter-species crosses. Developing more effective and sensitive diagnostic methods and biomarkers is vital for enhancing Leishmania infection control programs.
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Affiliation(s)
- Mohammad Akhoundi
- Service de Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, Nice, France; MIVEGEC, UMR CNRS5290-IRD224-Université de Montpellier Centre IRD, Montpellier, France.
| | - Tim Downing
- School of Biotechnology, Dublin City University, Dublin, Ireland
| | - Jan Votýpka
- Biology Centre, Institute of Parasitology, Czech Academy of Sciences, České Budějovice, Czech Republic; Department of Parasitology, Faculty of Science, Charles University in Prague, Prague, Czech Republic
| | - Katrin Kuhls
- Division of Molecular Biotechnology and Functional Genomics, Technical University of Applied Sciences Wildau, Wildau, Germany
| | - Julius Lukeš
- Biology Centre, Institute of Parasitology, Czech Academy of Sciences, České Budějovice, Czech Republic; Faculty of Sciences, University of South Bohemia, České Budějovice, Czech Republic; Canadian Institute for Advanced Research, Toronto, Canada
| | - Arnaud Cannet
- Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, Université de Nice-Sophia Antipolis, Nice, France
| | - Christophe Ravel
- French National Reference Centre on Leishmaniasis, Montpellier University, Montpellier, France
| | - Pierre Marty
- Service de Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, Nice, France; Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, Université de Nice-Sophia Antipolis, Nice, France
| | - Pascal Delaunay
- Service de Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, Nice, France; Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, Université de Nice-Sophia Antipolis, Nice, France; MIVEGEC, UMR CNRS5290-IRD224-Université de Montpellier Centre IRD, Montpellier, France
| | - Mohamed Kasbari
- Agence Nationale de Sécurité Sanitaire de l'Alimentation, de l'Environnement et du Travail, ANSES, Laboratoire de Santé Animale, Maisons-Alfort, Cedex, France
| | - Bruno Granouillac
- IRD/UMI 233, INSERM U1175, Montpellier University, Montpellier, France; MIVEGEC, UMR CNRS5290-IRD224-Université de Montpellier Centre IRD, Montpellier, France
| | - Luigi Gradoni
- Unit of Vector-borne Diseases and International Health, Istituto Superiore di Sanità, Rome, Italy
| | - Denis Sereno
- MIVEGEC, UMR CNRS5290-IRD224-Université de Montpellier Centre IRD, Montpellier, France; Intertryp UMR IRD177, Centre IRD de Montpellier, Montpellier, France
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Jourdain F, Delaunay P, Bérenger JM, Perrin Y, Robert V. The Common bed bug (Cimex lectularius) in metropolitan France. Survey on the attitudes and practices of private- and public-sector professionals. ACTA ACUST UNITED AC 2016; 23:38. [PMID: 27605306 PMCID: PMC5018931 DOI: 10.1051/parasite/2016038] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2016] [Accepted: 08/23/2016] [Indexed: 11/14/2022]
Abstract
The Common bed bug, Cimex lectularius, had virtually disappeared from France in the 1950s; however, a worldwide resurgence of bed bugs (C. lectularius and C. hemipterus) has been observed since the 1990s. To document modern pest control activities for the management of bed bugs, a survey was conducted in metropolitan France among the two main categories of professionals regularly called upon to deal with the control of infestations: Municipal Health and Safety Services (MHSSs) and private Pest Management Companies (PMCs). These professionals responded to a questionnaire targeting their knowledge, attitude and practices related to the process for diagnosing a bed bug infestation and the processes taken to actually control an infestation. There were 68 responses received from MHSSs and 51 from the PMCs. The responses indicate that every single département (French administrative division) in metropolitan France has witnessed at least one intervention for bed bugs. Among the criteria considered sufficient to confirm a bed bug infestation, direct observation of bugs was the most commonly cited response. Faced with an infestation, most PMCs used a combination of non-chemical and chemical methods, and systematically performed two treatments. This survey is the first of professionals involved in bed bug control in metropolitan France and confirms the growing importance of bed bugs as a public health pest. Establishing a database to monitor this emerging pest would improve the understanding of the distribution of these insects, help guide educational requirements, identify research needs and assist in ensuring that the most appropriate control practices are undertaken.
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Affiliation(s)
- Frédéric Jourdain
- Centre National d'Expertise sur les Vecteurs, Centre IRD France Sud, 911 avenue Agropolis, BP 64501, 34394 Montpellier cedex 5, France
| | - Pascal Delaunay
- Service de Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, 06000 Nice, France - Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, Université de Nice-Sophia Antipolis, 06000 Nice, France
| | - Jean-Michel Bérenger
- Unité de Recherche en Maladies Infectieuses Tropicales (URMITE), UM63, CNRS 7278, IRD 198, Inserm 1095, Faculté de Médecine de la Timone, Université Aix-Marseille, 13000 Marseille, France
| | - Yvon Perrin
- Centre National d'Expertise sur les Vecteurs, Centre IRD France Sud, 911 avenue Agropolis, BP 64501, 34394 Montpellier cedex 5, France
| | - Vincent Robert
- UMR MIVEGEC, IRD 224-CNRS 5290-UM, Centre IRD France-Sud, 911 avenue Agropolis, BP 64501, 34394 Montpellier, France
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Kone AK, Niare DS, Thera MA, Kayentao K, Djimde A, Delaunay P, Kouriba B, Giudice PD, Izri A, Marty P, Doumbo OK. Epidemiology of the outbreak, vectors and reservoirs of cutaneous leishmaniasis in Mali: A systematic review and meta-analysis. ASIAN PAC J TROP MED 2016; 9:985-990. [PMID: 27794393 DOI: 10.1016/j.apjtm.2016.07.025] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2016] [Revised: 07/03/2016] [Accepted: 07/10/2016] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To compile available data and to estimate the burden, characteristics and risks factors of cutaneous leishmaniasis (CL) in Mali. METHODS Articles in English and French were searched in Hinari, Google scholar and PubMed. Unpublished studies were identified by searching in Google.com. Terms used were cutaneous leishmaniasis Mali; Leishmaniasis Mali, Leishmania major Mali; or Phlebotomus Mali or Sergentomyia Mali. We select descriptive studies on CL and sandflies in Mali. Data were extracted and checked by the author, then analyzed by region, by study population and type of biological tests, meta-analysis approach with STATA software was used. RESULTS Nineteen published (n = 19) and three unpublished were included. CL epidemiology was characterized by occurrence of clinical cases in different areas of Mali, outbreaks restricted to known areas of transmission and isolated cases diagnosed in travelers. In endemic areas, population at risk are young age persons, farmers, ranchers, housewives, teachers and military personnel. The annual incidence ranged from 290 to 580 cases of CL. Leishmania major is the main species encountered throughout the country (North Savanna, Sahel and Sub-Saharan areas), and Phlebotomus duboscqi has been identified as the vector and Sergentomyia (Spelaeomyia) darlingi as possible vector. The overall estimated prevalence of positive LST (Leishmanin Skin Test) was 22.1%. The overall frequency of CL disease among suspected cases was 40.3%. CONCLUSIONS Although descriptive, hospital-based and cross-sectional studies are robust enough to determine the extent of CL in Mali; future well-designed eco-epidemiological studies at a nationwide scale are needed to fully characterize CL epidemiology and risk factors in Mali.
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Affiliation(s)
- Abdoulaye Kassoum Kone
- Malaria Research and Training Center, Department of Epidemiology of Parasitic Diseases, Faculty of Medicine, and Dentistry, UMI-3189, University of Science, Technique and Technology of Bamako, BP 1805, Bamako, Mali.
| | - Doumbo Safiatou Niare
- Malaria Research and Training Center, Department of Epidemiology of Parasitic Diseases, Faculty of Medicine, and Dentistry, UMI-3189, University of Science, Technique and Technology of Bamako, BP 1805, Bamako, Mali
| | - Mahamadou Ali Thera
- Malaria Research and Training Center, Department of Epidemiology of Parasitic Diseases, Faculty of Medicine, and Dentistry, UMI-3189, University of Science, Technique and Technology of Bamako, BP 1805, Bamako, Mali
| | - Kassoum Kayentao
- Malaria Research and Training Center, Department of Epidemiology of Parasitic Diseases, Faculty of Medicine, and Dentistry, UMI-3189, University of Science, Technique and Technology of Bamako, BP 1805, Bamako, Mali
| | - Abdoulaye Djimde
- Malaria Research and Training Center, Department of Epidemiology of Parasitic Diseases, Faculty of Medicine, and Dentistry, UMI-3189, University of Science, Technique and Technology of Bamako, BP 1805, Bamako, Mali
| | - Pascal Delaunay
- Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, C3M, Université de Nice-Sophia Antipolis, 151, route St Antoine de Ginestière, BP 2 3194, 06204 Nice Cedex, France; Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, France
| | - Bourema Kouriba
- Malaria Research and Training Center, Department of Epidemiology of Parasitic Diseases, Faculty of Medicine, and Dentistry, UMI-3189, University of Science, Technique and Technology of Bamako, BP 1805, Bamako, Mali
| | - Pascal Del Giudice
- Unit of Infectious et Tropical Diseases, Hospital Bonnet, 83700 Fréjus, France
| | - Arezki Izri
- Parasitology-Mycology, Hospital Avicenne, Paris 13 University, UMR 190, Aix-Marseille University, France
| | - Pierre Marty
- Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, C3M, Université de Nice-Sophia Antipolis, 151, route St Antoine de Ginestière, BP 2 3194, 06204 Nice Cedex, France; Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, France
| | - Ogobara K Doumbo
- Malaria Research and Training Center, Department of Epidemiology of Parasitic Diseases, Faculty of Medicine, and Dentistry, UMI-3189, University of Science, Technique and Technology of Bamako, BP 1805, Bamako, Mali; Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, C3M, Université de Nice-Sophia Antipolis, 151, route St Antoine de Ginestière, BP 2 3194, 06204 Nice Cedex, France.
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Akhoundi M, Cannet A, Loubatier C, Berenger JM, Izri A, Marty P, Delaunay P. Molecular characterization of Wolbachia infection in bed bugs (Cimex lectularius) collected from several localities in France. ACTA ACUST UNITED AC 2016; 23:31. [PMID: 27492563 PMCID: PMC4974871 DOI: 10.1051/parasite/2016031] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2016] [Accepted: 07/23/2016] [Indexed: 11/21/2022]
Abstract
Wolbachia symbionts are maternally inherited intracellular bacteria that have been detected in numerous insects including bed bugs. The objective of this study, the first epidemiological study in Europe, was to screen Wolbachia infection among Cimex lectularius collected in the field, using PCR targeting the surface protein gene (wsp), and to compare obtained Wolbachia strains with those reported from laboratory colonies of C. lectularius as well as other Wolbachia groups. For this purpose, 284 bed bug specimens were caught and studied from eight different regions of France including the suburbs of Paris, Bouches-du-Rhône, Lot-et-Garonne, and five localities in Alpes-Maritimes. Among the samples, 166 were adults and the remaining 118 were considered nymphs. In all, 47 out of 118 nymphs (40%) and 61 out of 166 adults (37%) were found positive on wsp screening. Among the positive cases, 10 samples were selected randomly for sequencing. The sequences had 100% homology with wsp sequences belonging to the F-supergroup strains of Wolbachia. Therefore, we confirm the similarity of Wolbachia strains detected in this epidemiological study to Wolbachia spp. reported from laboratory colonies of C. lectularius.
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Affiliation(s)
- Mohammad Akhoundi
- Service de Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, 06000 Nice, France
| | - Arnaud Cannet
- Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, Faculté de Médecine, Université Nice-Sophia Antipolis, 06000 Nice, France
| | - Céline Loubatier
- Faculté de Médecine, Université Nice-Sophia Antipolis, 06000 Nice, France
| | - Jean-Michel Berenger
- URMITE, UM63, CNRS 7278, IRD 198, Inserm 1095, Faculté de Médecine, Université Aix-Marseille, 13000 Marseille, France
| | - Arezki Izri
- URMITE, UM63, CNRS 7278, IRD 198, Inserm 1095, Faculté de Médecine, Université Aix-Marseille, 13000 Marseille, France - Service de Parasitologie-Mycologie, Hôpital Avicenne, Assistance Publique-Hôpitaux de Paris, 93000 Bobigny, France
| | - Pierre Marty
- Service de Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, 06000 Nice, France - Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, Faculté de Médecine, Université Nice-Sophia Antipolis, 06000 Nice, France
| | - Pascal Delaunay
- Service de Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, 06000 Nice, France - Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, Faculté de Médecine, Université Nice-Sophia Antipolis, 06000 Nice, France
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Ruetsch C, Delaunay P, Armengaud A, Peloux-Petiot F, Dupouy-Camet J, Vallée I, Polack B, Boireau P, Marty P. Inadequate labeling of pork sausages prepared in Corsica causing a trichinellosis outbreak in France. ACTA ACUST UNITED AC 2016; 23:27. [PMID: 27317463 PMCID: PMC4912683 DOI: 10.1051/parasite/2016027] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2016] [Accepted: 06/05/2016] [Indexed: 12/18/2022]
Abstract
Three cases of human trichinellosis due to Trichinella britovi were reported in 2015 in the Southeast of France resulting from consumption of raw pork sausages (figatelli) prepared in Corsica. Fourteen other people ate figatelli from the same batch but were not infected due to the figatelli being well cooked. This is the first reported human trichinellosis outbreak due to consumption of Corsican sausages prepared from uncontrolled pork. Consumption of raw figatelli is a common tradition in Corsica. As a result, the health recommendation to cook the product well is not always applied. In the present case, the figatelli product label was not sufficiently visible to advise consumers of the risks associated with uncooked pork.
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Affiliation(s)
- Caroline Ruetsch
- Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, 06200 Nice, France
| | - Pascal Delaunay
- Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, 06200 Nice, France - Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, Université Nice-Sophia Antipolis, 06000 Nice, France
| | - Alexis Armengaud
- Cellule de l'Institut de Veille Sanitaire en régions Provence-Alpes-Côte d'Azur et Corse, 13331 Marseille, France
| | | | - Jean Dupouy-Camet
- Parasitologie-Mycologie, Hôpital Cochin, Assistance Publique Hôpitaux de Paris, 75014 Paris, France
| | - Isabelle Vallée
- ANSES, ENVA, INRA, Université Paris-Est, Laboratoire de Santé Animale ANSES, UMR BIPAR, 94700 Maisons-Alfort, France
| | - Bruno Polack
- ANSES, ENVA, INRA, Université Paris-Est, Laboratoire de Santé Animale ANSES, UMR BIPAR, 94700 Maisons-Alfort, France
| | - Pascal Boireau
- ANSES, ENVA, INRA, Université Paris-Est, Laboratoire de Santé Animale ANSES, UMR BIPAR, 94700 Maisons-Alfort, France
| | - Pierre Marty
- Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, 06200 Nice, France - Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, Université Nice-Sophia Antipolis, 06000 Nice, France
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Morio F, Simon C, Basset D, Botterel F, Delaunay P, Guiguen C, Kauffmann-Lacroix C, Lachaud L, Pays J, Pihet M, Chabasse D. eANOFEL, un outil d’iconographie en Parasitologie et Mycologie. J Mycol Med 2016. [DOI: 10.1016/j.mycmed.2016.04.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Akhoundi M, Kuhls K, Cannet A, Votýpka J, Marty P, Delaunay P, Sereno D. A Historical Overview of the Classification, Evolution, and Dispersion of Leishmania Parasites and Sandflies. PLoS Negl Trop Dis 2016; 10:e0004349. [PMID: 26937644 PMCID: PMC4777430 DOI: 10.1371/journal.pntd.0004349] [Citation(s) in RCA: 495] [Impact Index Per Article: 61.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND The aim of this study is to describe the major evolutionary historical events among Leishmania, sandflies, and the associated animal reservoirs in detail, in accordance with the geographical evolution of the Earth, which has not been previously discussed on a large scale. METHODOLOGY AND PRINCIPAL FINDINGS Leishmania and sandfly classification has always been a controversial matter, and the increasing number of species currently described further complicates this issue. Despite several hypotheses on the origin, evolution, and distribution of Leishmania and sandflies in the Old and New World, no consistent agreement exists regarding dissemination of the actors that play roles in leishmaniasis. For this purpose, we present here three centuries of research on sandflies and Leishmania descriptions, as well as a complete description of Leishmania and sandfly fossils and the emergence date of each Leishmania and sandfly group during different geographical periods, from 550 million years ago until now. We discuss critically the different approaches that were used for Leishmana and sandfly classification and their synonymies, proposing an updated classification for each species of Leishmania and sandfly. We update information on the current distribution and dispersion of different species of Leishmania (53), sandflies (more than 800 at genus or subgenus level), and animal reservoirs in each of the following geographical ecozones: Palearctic, Nearctic, Neotropic, Afrotropical, Oriental, Malagasy, and Australian. We propose an updated list of the potential and proven sandfly vectors for each Leishmania species in the Old and New World. Finally, we address a classical question about digenetic Leishmania evolution: which was the first host, a vertebrate or an invertebrate? CONCLUSIONS AND SIGNIFICANCE We propose an updated view of events that have played important roles in the geographical dispersion of sandflies, in relation to both the Leishmania species they transmit and the animal reservoirs of the parasites.
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Affiliation(s)
- Mohammad Akhoundi
- Service de Parasitologie-Mycologie, Hôpital de l’Archet, Centre Hospitalier Universitaire de Nice, Nice, France
- * E-mail:
| | - Katrin Kuhls
- Division of Molecular Biotechnology and Functional Genetics, Technical University of Applied Sciences Wildau, Wildau, Germany
| | - Arnaud Cannet
- Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, Université de Nice-Sophia Antipolis, Nice, France
| | - Jan Votýpka
- Biology Centre, Institute of Parasitology, Czech Academy of Sciences, Prague, Czech Republic
- Department of Parasitology, Faculty of Science, Charles University in Prague, Prague, Czech Republic
| | - Pierre Marty
- Service de Parasitologie-Mycologie, Hôpital de l’Archet, Centre Hospitalier Universitaire de Nice, Nice, France
- Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, Université de Nice-Sophia Antipolis, Nice, France
| | - Pascal Delaunay
- Service de Parasitologie-Mycologie, Hôpital de l’Archet, Centre Hospitalier Universitaire de Nice, Nice, France
- Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, Université de Nice-Sophia Antipolis, Nice, France
| | - Denis Sereno
- MIVEGEC, UMR CNRS-IRD-Université de Montpellier Centre IRD, Montpellier, France
- UMR177, Centre IRD de Montpellier, Montpellier, France
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Cannet A, Akhoundi M, Berenger JM, Michel G, Marty P, Delaunay P. A review of data on laboratory colonies of bed bugs (Cimicidae), an insect of emerging medical relevance. ACTA ACUST UNITED AC 2015; 22:21. [PMID: 26091944 PMCID: PMC4475256 DOI: 10.1051/parasite/2015021] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2015] [Accepted: 06/04/2015] [Indexed: 11/29/2022]
Abstract
Cimicidae are hematophagous Heteroptera, feeding on human blood, that have been the subject of significant medical investigation. In particular, they have been colonized under laboratory conditions to study their medical relevance. Laboratory colonization of these bugs is a multifactorial phenomenon. Our goal was to conduct a comparative literature review to classify the published data, demonstrating preferred bed bug colony conditions. We show that physical factors including temperature, relative humidity and photoperiod, and physiological factors such as type and frequency of blood meals play important roles in laboratory colonies. Any change in these factors produces changes in life-cycle duration. Temperature and blood meal are the most important factors, with a marked impact on the life-cycle of laboratory populations, depending on the species. A wide range of temperatures (15–34 °C) and relative humidity (46–75%) with an average of 25 °C and 59% were found for these colonies. Two widely used blood sources for the colonies were rabbits and humans.
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Affiliation(s)
- Arnaud Cannet
- Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, C3 M, Université de Nice-Sophia Antipolis, 151, Route St Antoine de Ginestière, BP 2 3194, 06204 Nice Cedex, France
| | - Mohammad Akhoundi
- Service de Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, 06202 Nice, France
| | - Jean-Michel Berenger
- URMITE, UM63, CNRS 7278, IRD 198, Inserm 1095, Faculté de Médecine, Université d'Aix-Marseille, 13385 Marseille, France
| | - Gregory Michel
- Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, C3 M, Université de Nice-Sophia Antipolis, 151, Route St Antoine de Ginestière, BP 2 3194, 06204 Nice Cedex, France
| | - Pierre Marty
- Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, C3 M, Université de Nice-Sophia Antipolis, 151, Route St Antoine de Ginestière, BP 2 3194, 06204 Nice Cedex, France - Service de Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, 06202 Nice, France
| | - Pascal Delaunay
- Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, C3 M, Université de Nice-Sophia Antipolis, 151, Route St Antoine de Ginestière, BP 2 3194, 06204 Nice Cedex, France - Service de Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, 06202 Nice, France
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Herisse A, Darles C, Mary C, Hubiche T, Del Giudice P, Chiaverini C, Lacour J, Tran A, Haas H, Loubatier C, Hasseine L, Marty P, Delaunay P. CO-37 – Place de la biologie moléculaire dans le diagnostic de gale. Arch Pediatr 2015. [DOI: 10.1016/s0929-693x(15)30139-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Affiliation(s)
- M Akhoundi
- Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, Nice, France
| | - A Cannet
- Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, C3M, Université de Nice-Sophia Antipolis, Nice Cedex, France
| | - M K Arab
- Gastroenterology, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, Nice, France
| | - P Marty
- Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, Nice, France.,Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, C3M, Université de Nice-Sophia Antipolis, Nice Cedex, France
| | - P Delaunay
- Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, Nice, France.,Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, C3M, Université de Nice-Sophia Antipolis, Nice Cedex, France
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41
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Abstract
Bed bugs are hematophagous insects responsible for a re-emerging and challenging indoor pest in many countries. Bed bugs infestations may have health consequences including nuisance biting, cutaneous and systemic reactions. This resurgence can probably be attributed to factors such as increased international travel and development of resistance against insecticides. Resistance against pyrethroids has been reported several times from the USA and rarely in Europe. In France, very few data on bed bugs are available. The present study aimed to assess the infestation by bed bugs of a complex of two high-rise apartment buildings in the suburb of Paris and to evaluate their susceptibility to pyrethroid insecticides. We inspected for bed bugs 192 out of 198 apartments units (97%) and interviewed their residents. 76 (39.6%) apartments were infested. Among the 97 residents living in infested apartments, 53 (54.6%) reported bed bug bites. A total of 564 bed bugs were collected in the infested units. Bioassays showed that 54 out of 143 bed bugs were resistant to pyrethroids (37.8%; 95% confidence interval: 29.9-45.7%). DNA sequencing showed that all bed bugs tested (n = 124) had homozygous L925I kdr-like gene mutation. The level of pyrethroid resistance found indicates that this phenomenon was already established in the site and prompts the need to reevaluate the wide use of pyrethroids to control bed bugs.
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Affiliation(s)
- R Durand
- Laboratoire de Parasitologie-Mycologie, Hôpital Avicenne, Assistance Publique-Hôpitaux de Paris, France
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42
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Herisse A, Chiaverini C, Hubiche T, Tran A, Delaunay P, Del Giudice P, Lacour J, Marty P, Haas H. SFP CO-43 - La gale en pédiatrie : analyses des causes d’échec thérapeutique. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71954-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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43
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Abstract
A 38-year-old man, returned from Ivory Coast 2 months ago and presented with a 3-month history of pruritus exclusively on the scrotum. Itching was continuous during the day and no pruritus was described in his wife and son. Clinical examination of the genitals revealed several nodules on the scrotum, a chancrous lesion was seen on the penis, and multiple excoriations were noted. Dermoscopy exam with a dermatoscope of the whole body was performed and no papules, nodules, or burrow were found. Microscopic examination of several superficial skin samples obtained by scraping in the peri-genital area revealed one adult of Sarcoptes scabiei. The patient and his relatives were successfully treated with Ivermectin 200 μg/kg with a second dose 2 weeks later. Very rare cases are described on localized scabies (scalp, feet) and they mainly occurred in an immunocompromised patient unlike this patient who does not have any immunosuppression.
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Affiliation(s)
- Christelle Pomares
- *Address correspondence to Christelle Pomares, Service de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice - Hôpital de l'Archet, Université de Nice-Sophia Antipolis, C3M, Inserm U 1065, 151, route de Saint Antoine de Ginestière, CS 23079 06202 Nice Cedex 3, France. E-mail:
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44
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Marty P, Izri A, Ozon C, Haas P, Rosenthal E, Del Giudice P, Godenir J, Coulibaly E, Gari-Toussaint M, Delaunay P, Ferrua B, Haas H, Pratlong F, Le Fichoux Y. A century of leishmaniasis in Alpes-Maritimes, France. Annals of Tropical Medicine & Parasitology 2013; 101:563-74. [PMID: 17877875 DOI: 10.1179/136485907x229121] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
A century of publications on leishmaniasis in Alpes-Maritimes, in southern France, is here reviewed. Autochtonous human and canine leishmaniasis were first recognised in this département, which lies by the Mediterranean Sea and near the Italian border, in 1918 and 1925, respectively. The parasite responsible for the leishmaniasis, Leishmania infantum, is transmitted by Phlebotomus perniciosus and P. ariasi. The human leishmaniasis is zoonotic, with domestic dogs acting as the main 'reservoir' hosts. In prospective surveys over the last two decades, a mean of 12% of the domestic dogs checked in Alpes-Maritimes have been found seropositive for L. infantum but only about 50% of the seropositive animals showed any clinical signs of infection at the time of the surveys. During the last 30 years, 178 cases of human visceral leishmaniasis have been recorded in the area. Such cases are sporadic and often opportunistic, occurring predominantly in children (29% of the 178 cases) or HIV-positive subjects (31%). Recently, it has been demonstrated that, in Alpes-Maritimes, approximately 20% of those found seropositive in leishmanin skin tests are asymptomatic carriers, with amastigotes in their peripheral blood.
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Affiliation(s)
- P Marty
- Equipe de Recherche sur les Leishmanioses, Faculté de Médecine, 28, Avenue de Valombrose, 06107 Nice Cédex 2, France.
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45
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Affiliation(s)
- Thomas Hubiche
- *Address correspondence to Thomas Hubiche, Unité de Dermatologie–Infectiologie, Centre Hospitalier Intercommunal Fréjus Saint Raphaël, 240 Avenue de Saint Lambert, 83600 Fréjus, France. E-mail:
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46
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Harmelin Y, Delaunay P, Erfan N, Tsilika K, Zorzi K, Passeron T, Lacour JP, Bahadoran P. Interest of confocal laser scanning microscopy for the diagnosis and treatment monitoring of demodicosis. J Eur Acad Dermatol Venereol 2013; 28:255-7. [PMID: 23659565 DOI: 10.1111/jdv.12178] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Y Harmelin
- Archet Hospital, University of Sophia Antipolis, Department of Dermatology, Nice, France
| | - P Delaunay
- Archet Hospital, University of Sophia, Antipolis Department of Parasitology, Nice, France
| | - N Erfan
- Archet Hospital, University of Sophia Antipolis, Department of Dermatology, Nice, France
| | - K Tsilika
- Archet Hospital, University of Sophia Antipolis, Department of Dermatology, Nice, France
| | - K Zorzi
- Center for Clinical Research, CRC, Nice, France
| | - T Passeron
- Archet Hospital, University of Sophia Antipolis, Department of Dermatology, Nice, France.,INSERM U1065 team 12, C3M, Nice, France
| | - J P Lacour
- Archet Hospital, University of Sophia Antipolis, Department of Dermatology, Nice, France.,INSERM U1065 team 12, C3M, Nice, France
| | - P Bahadoran
- Archet Hospital, University of Sophia Antipolis, Department of Dermatology, Nice, France.,INSERM U1065 team 12, C3M, Nice, France.,Center for Clinical Research, CRC, Nice, France
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47
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Vega-Rua A, Zouache K, Caro V, Diancourt L, Delaunay P, Grandadam M, Failloux AB. High efficiency of temperate Aedes albopictus to transmit chikungunya and dengue viruses in the Southeast of France. PLoS One 2013; 8:e59716. [PMID: 23527259 PMCID: PMC3601061 DOI: 10.1371/journal.pone.0059716] [Citation(s) in RCA: 110] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2012] [Accepted: 02/17/2013] [Indexed: 12/23/2022] Open
Abstract
Background Since 2005, cases of chikungunya (CHIK) were caused by an unusual vector, Aedes albopictus. This mosquito, present in Europe since 1979, has gained importance since its involvement in the first CHIK outbreak in Italy in 2007. The species is capable of transmitting experimentally 26 arboviruses. However, the vectorial status of its temperate populations has remained little investigated. In 2010, autochthonous cases of CHIK and dengue (DEN) were reported in southeastern France. We evaluated the potential of a French population of Ae. albopictus in the transmission of both viruses. Methodology and Principal Findings We used two strains of each virus, CHIK and DEN: one strain was isolated from an imported case, and one from an autochthonous case. We used as controls Aedes aegypti from India and Martinique, the source of the imported cases of CHIK and DEN, respectively. We showed that Ae. albopictus from Cagnes-sur-Mer (AL-CSM) was as efficient as the typical tropical vector Ae. aegypti from India to experimentally transmit both CHIK strains isolated from patients in Fréjus, with around 35–67% of mosquitoes delivering up to 14 viral particles at day 3 post-infection (pi). The unexpected finding came from the high efficiency of AL-CSM to transmit both strains of DENV-1 isolated from patients in Nice. Almost 67% of Ae. albopictus AL-CSM which have ensured viral dissemination were able to transmit at day 9 pi when less than 21% of the typical DEN vector Ae. aegypti from Martinique could achieve transmission. Conclusions/Significance Temperate Ae. albopictus behaves differently compared to its counterpart from tropical regions, where recurrent epidemic outbreaks occur. Its potential responsibility for outbreaks in Europe should not be minimized.
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Affiliation(s)
- Anubis Vega-Rua
- Department of Virology, Institut Pasteur, Arboviruses and Insect Vectors, Paris, France
| | - Karima Zouache
- Department of Virology, Institut Pasteur, Arboviruses and Insect Vectors, Paris, France
| | - Valerie Caro
- Department of Infection and Epidemiology, Institut Pasteur, Genotyping of Pathogens and Public Health, Paris, France
| | - Laure Diancourt
- Department of Infection and Epidemiology, Institut Pasteur, Genotyping of Pathogens and Public Health, Paris, France
| | - Pascal Delaunay
- Hôpital de l’Archet, Centre Hospitalier Universitaire de Nice, and Inserm U1065/Université de Nice-Sophia Antipolis, Laboratoire de Parasitologie–Mycologie, Nice, France
| | - Marc Grandadam
- Department of Virology, Institut Pasteur, Molecular Interactions Flavivirus-Hosts, National Reference Center for Arboviruses, Paris, France
| | - Anna-Bella Failloux
- Department of Virology, Institut Pasteur, Arboviruses and Insect Vectors, Paris, France
- * E-mail:
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48
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Gharbi M, Flegg JA, Hubert V, Kendjo E, Metcalf JE, Bertaux L, Guérin PJ, Le Bras J, Aboubaca A, Agnamey P, Angoulvant A, Barbut P, Basset D, Belkadi G, Bellanger AP, Bemba D, Benoit-Vica F, Berry A, Bigel ML, Bonhomme J, Botterel F, Bouchaud O, Bougnoux ME, Bourée P, Bourgeois N, Branger C, Bret L, Buret B, Casalino E, Chevrier S, Conquere de Monbrison F, Cuisenier B, Danis M, Darde ML, De Gentile L, Delarbre JM, Delaunay P, Delaval A, Desoubeaux G, Develoux M, Dunand J, Durand R, Eloy O, Fauchet N, Faugere B, Faye A, Fenneteau O, Flori P, Fontrouge M, Garabedian C, Gayandrieu F, Godineau N, Houzé P, Houzé S, Hurst JP, Ichou H, Lachaud L, Lebuisson A, Lefevre M, LeGuern AS, Le Moal G, Lusina D, Machouart MC, Malvy D, Matheron S, Maubon D, Mechali D, Megarbane B, Menard G, Millon L, Aiach MM, Minodier P, Morelle C, Nevez G, Parola P, Parzy D, Patey O, Patoz P, Penn P, Perignon A, Picot S, Pilo JE, Poilane I, Pons D, Poupart M, Pradines B, Raffenot D, Rapp C, Receveur MC, Sarfati C, Senghor Y, Simon F, Siriez JY, Taudon N, Thellier M, Thouvenin M, Toubas D. Longitudinal study assessing the return of chloroquine susceptibility of Plasmodium falciparum in isolates from travellers returning from West and Central Africa, 2000-2011. Malar J 2013; 12:35. [PMID: 23351608 PMCID: PMC3583707 DOI: 10.1186/1475-2875-12-35] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2012] [Accepted: 01/19/2013] [Indexed: 11/10/2022] Open
Abstract
Background Chloroquine (CQ) was the main malaria therapy worldwide from the 1940s until the 1990s. Following the emergence of CQ-resistant Plasmodium falciparum, most African countries discontinued the use of CQ, and now promote artemisinin-based combination therapy as the first-line treatment. This change was generally initiated during the last decade in West and Central Africa. The aim of this study is to describe the changes in CQ susceptibility in this African region, using travellers returning from this region as a sentinel system. Methods The study was conducted by the Malaria National Reference Centre, France. The database collated the pfcrtK76T molecular marker for CQ susceptibility and the in vitro response to CQ of parasites from travellers’ isolates returning from Senegal, Mali, Ivory Coast or Cameroon. As a proxy of drug pressure, data regarding CQ intake in febrile children were collated for the study period. Logistic regression models were used to detect trends in the proportions of CQ resistant isolates. Results A total of 2874 parasite isolates were genotyped between 2000–2011. The prevalence of the pfcrt76T mutant genotype significantly decreased for Senegal (from 78% to 47%), Ivory Coast (from 63% to 37%), Cameroon (from 90% to 59%) and remained stable for Mali. The geometric mean of the 50% inhibitory concentration (IC50) of CQ in vitro susceptibility and the proportion of resistant isolates (defining resistance as an IC50 value > 100 nM) significantly decreased for Senegal (from 86 nM (59%) to 39 nM (25%)), Mali (from 84 nM (50%) to 51 nM (31%)), Ivory Coast (from 75 nM (59%) to 29 nM (16%)) and Cameroon (from 181 nM (75%) to 51 nM (37%)). Both analyses (molecular and in vitro susceptibility) were performed for the 2004–2011 period, after the four countries had officially discontinued CQ and showed an accelerated decline of the resistant isolates for the four countries. Meanwhile, CQ use among children significantly deceased in this region (fixed effects slope = −0.3, p < 10-3). Conclusions An increase in CQ susceptibility following official withdrawal of the drug was observed in travellers returning from West and Central African countries. The same trends were observed for molecular and in vitro analysis between 2004-2011and they correlated to the decrease of the drug pressure.
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Affiliation(s)
- Myriam Gharbi
- Mère et enfant face aux infections tropicales, IRD unité mixte de recherche 216, Université Paris Descartes-Paris V, 4 avenue de l'Observatoire, Paris Cedex 06 75270, France.
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49
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Affiliation(s)
- Celine Bernardeschi
- AP-HP, Groupe Hospitalier Henri-Mondor, Department of Dermatology, Créteil, France
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50
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Renvoisé A, Delaunay P, Blanchouin E, Cannavo I, Cua E, Socolovschi C, Parola P, Raoult D. Urban family cluster of spotted fever rickettsiosis linked to Rhipicephalus sanguineus infected with Rickettsia conorii subsp. caspia and Rickettsia massiliae. Ticks Tick Borne Dis 2012; 3:389-92. [DOI: 10.1016/j.ttbdis.2012.10.008] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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