Twenty
Leishmania (Viannia) braziliensis isolates recovered from patients living in three distinct endemic areas in Paraguay and presenting single or multiple cutaneous lesions were analyzed. Alto Paraná and Canindeyú located near the boundary of Paraná State (Brazil) present epidemiological patterns compatible with areas of ancient transmission of the disease. The area of San Pedro located at the oriental shore of the Paraguay River is considered to be of recent transmission, with mucocutaneous clinical forms being present.
Three different polymorphic markers were used in order to characterize and to provide a preliminary molecular mapping of the circulating strains. Restriction fragment length polymorphisms of kDNA analysis revealed the presence of three different schizodemes circulating in the endemic areas. Isoenzymatic variants were also detected in six out of the sixteen strains studied. However, no correlation was found between enzyme polymorphisms and a specific type of schizodeme.
Our results demonstrate the intraspecific heterogeneity of the
Viannia species circulating in Paraguay suggesting a more complex epidemiological situation in some endemic foci. Furthermore, the finding of genotypic polymorphisms among isolates of the same species raises questions regarding parasite virulence in the American Tegumentary Leishmaniases.
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