Publications by authors named "Diego L Guedes"

2 Publications

  • Page 1 of 1

A Flow Cytometry-Based Serological Assay to Detect Visceral Leishmaniasis in HIV-Infected Patients.

Front Med (Lausanne) 2021 30;8:553280. Epub 2021 Apr 30.

Aggeu Magalhães Institute, Oswaldo Cruz Foundation, Recife, Brazil.

Visceral Leishmaniasis (VL) is a severe parasitic disease that has emerged as an important opportunistic condition in HIV-infected patients and whose control is impaired by inaccurate identification. This is mainly due to the serological tests used for VL having a reduced performance in cases of VL-HIV coinfection due to a low humoral response. In this situation, however, a positive test has even greater diagnostic value when combined with the clinical status. This study aimed to evaluate the application and performance of flow cytometry to detect anti- antibodies in HIV-infected patients. Sera from VL/HIV coinfected patients, characterized using "gold standard" techniques, were compared with sera from healthy controls plus sera from HIV-infected individuals. The flow cytometry results were expressed as levels of IgG reactivity, based on the percentage of positive fluorescent parasites (PPFP). A ROC curve analysis of a serum titration indicated a PPFP of 1.26% as being the cutoff point to segregate positive and negative results. At the 1:2,048 dilution, with 89% sensitivity and 83% specificity, flow cytometry showed greater sensitivity in relation to the serological tests evaluated. Futhermore, flow cytometry was the only assay that positively identified all VL-HIV patients with quantified HIV load. Together, these findings suggest that flow cytometry may be used as an alternative serological approach for VL identification and as a tool to characterize the humoral response against in HIV-infected patients.
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http://dx.doi.org/10.3389/fmed.2021.553280DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8119745PMC
April 2021

Sexual Transmission of Visceral Leishmaniasis: A Neglected Story.

Trends Parasitol 2020 12 15;36(12):950-952. Epub 2020 Sep 15.

Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.

For visceral leishmaniasis (VL), a major vector-borne parasitic disease, an alternative sexual transmission route is well documented in dogs but evidence is lacking in humans. Here, we discuss the current knowledge and key questions to be answered as it may be an additional obstacle in ongoing VL elimination programs.
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http://dx.doi.org/10.1016/j.pt.2020.08.002DOI Listing
December 2020
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