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Volume 27, Number 9—September 2021
Dispatch

Disseminated Cutaneous Leishmaniasis and Alcohol Misuse, Northeast Brazil, 2015–2018

Anastácio Q. SousaComments to Author , Pedro D.T. Sindeaux Filho, Diane I.M. Cavalcante, Mércia S. Frutuoso, Francisco F. Pereira, José W.O. Lima, Laécio P.S. Santos, José A.N. Queiroz, James H. Maguire, Richard D. Pearson, and Margarida M.L. Pompeu
Author affiliations: Hospital São José for Infectious Diseases, Fortaleza, Brazil (A.Q. Sousa); Federal University of Ceará, Fortaleza (A.Q. Sousa, P.D.T. Sindeaux Filho, D.I.M. Cavalcante, M.S. Frutuoso, F.F. Pereira, L.P.S. Santos, J.A.N. Queiroz, M.M.L. Pompeu); S; tate University of Ceará, Fortaleza (J.W.O. Lima); Harvard University, Boston, Massachusetts, USA (J.H. Maguire); University of Virginia, Charlottesville, Virginia, USA (R.D. Pearson)

Main Article

Table 2

Comparison of LCL and DCL patients, Baturité region, Ceará State, Northeast Brazil, 2015–2018*

Variable Localized cutaneous leishmaniasis Disseminated cutaneous leishmaniasis Odds ratio† p value
Total
 38 (100.0)
 18 (100.0)
Sex
M 35 (92.1) 16 (88.9) 1.00 0.7
F
 3 (7.9)
 2 (11.1)
 1.46
Age, y‡ 41 (19–89) 42 (19–77) 1.01 0.64
Diabetes 3 (7.9) 3 (16.7) 2.13 0.39
Disease duration, wks‡ 8 (3–26) 16 (5–36) 1.17 <0.01
Mucosal lesion 1 (2.6) 9 (50.0) 43.7 <0.01
Parasite load‡§ 3 (1–340) 5 (1–556) 1.002 0.53
Agricultural occupation 22 (57.9) 12 (66.7) 1.45 0.53
Daily alcohol intake, g/d‡ 0 (0–400) 325 (0–800) 1.01 <0.01
Days with alcohol intake >28 g 4 (10.5) 14 (77.8) 23 <0.01

*Values are no. (%), except as indicated. DCL, disseminated cutaneous leishmaniasis; LCL, localized cutaneous leishmaniasis. †Estimated by simple logistic regression. ‡Values are median (range). Load measured as the number of intracellular and extracellular amastigotes in 15 high-powered fields (×40) using immunohistochemical assays. §Of 6 LCL patients and 7 DCL patients.

Main Article

Page created: June 28, 2021
Page updated: August 18, 2021
Page reviewed: August 18, 2021
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