Cutaneous leishmaniasis in Tupí-Mondé Amerindians from the Brazilian Amazonia

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open access
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1996
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Elsevier
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Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.
Universidade Federal do Rio de Janeiro. Museu Nacional. Departamento de Antropologia. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Hospital Evandro Chagas. Rio de Janeiro, RJ, Brasil
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Abstract
This paper reports the results of a cross-sectional survey aimed at characterizing the epidemiology of American cutaneous leihsmaniasis (ACL) in 3 Tupí-Mondé-speaking Amerindian groups from the Brazilian Amazon region. Data include results of Montenegro skin tests (n = 550), serology (n = 233), and physical examinations (n = 676). Rates of skin test positivity were higher for males and differed between the groups (Gavião 43.0%, Suruí 52.8%, Zoró 68.1%), with a trend toward increase with age. Strong associations were also detected for the presence of suggestive ACL scars, on the one hand, and age, sex, and tribal affiliation, on the other. Although 14.7% of the subjects showed typical scars of past ACL disease, only 3 cases of active primary leishmanial ulcers were observed. The results did not indicate any clear association between seropositivity and positivity to the Montenegro intradermal test or presence of scars. The authors discuss the epidemiology of ACL in the Tupí-Mondé in the light of their ecology and recent history.
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Amazonas, Brasil, Índios Sul-Americanos, Região Norte, Saúde de Populações Indígenas, Mato Grosso, Região Amazônica, Epidemiologia, Região Centro-Oeste, Gavião, Suruí, Rondônia, Zoró, Tupi-Mondé, Estudos Epidemiológicos, Doenças Infecciosas e Parasitárias, Estudos Transversais, Leishmaniose Cutânea
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Brasil, Saúde de Populações Indígenas, Índios Sul-Americanos, Epidemiologia, Ecossistema Amazônico, Estudos Epidemiológicos, Leishmaniose Cutânea, Doenças Infecciosas, Doenças Parasitárias
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COIMBRA JUNIOR, Carlos Everaldo Alvares et al. Cutaneous leishmaniasis in Tupí-Mondé Amerindians from the Brazilian Amazonia. Acta Tropica, v. 61, n. 3, p. 201-211, 1996.
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0001-706X
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