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Título:
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Outbreak of Cutaneous Leishmaniasis in Peruvian Military Personnel Undertaking Training Activities in the Amazon Basin, 2010 : Brote de leishmaniasis cutánea en personal militar peruano que realizó actividades de entrenamiento militar en la Cuenca Amazónica, 2010
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Autores:
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Ore, Marianela ;
Saenz, Eliana ;
Cabrera, Rufino ;
Sanchez, Juan F. ;
De Los Santos, Maxy B. ;
Lucas, Carmen M. ;
Nunez, Jorge H. ;
Edgel, Kimberly A. ;
Sopan, Justino ;
Fernandez, Jorge ;
Carnero, Andres M. ;
Baldeviano, G. Christian ;
Arrasco, Juan C. ;
Graf, Paul C. F. ;
Lescano, Andres G.
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Tipo de documento:
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texto impreso
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Editorial:
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American Society of Tropical Medicine and Hygiene, 2019-02-06T14:57:38Z
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Nota general:
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info:eu-repo/semantics/restrictedAccess
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
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Idiomas:
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Inglés
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Palabras clave:
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Editados por otras instituciones
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Artículos
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Artículos en revistas indizadas
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Resumen:
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Military personnel deployed to the Amazon Basin are at high risk for cutaneous leishmaniasis (CL). We responded to an outbreak among Peruvian Army personnel returning from short-term training in the Amazon, conducting active case detection, lesion sample collection, and risk factor assessment. The attack rate was 25% (76/303); the incubation period was 2-36 weeks (median = 8). Most cases had one lesion (66%), primarily ulcerative (49%), and in the legs (57%). Real-time polymerase chain reaction (PCR) identified Leishmania (Viannia) braziliensis (59/61 = 97%) and L. (V.) guyanensis (2/61 = 3%). Being male (risk ratio [RR] = 4.01; P = 0.034), not wearing long-sleeve clothes (RR = 1.71; P = 0.005), and sleeping in open rooms (RR = 1.80; P = 0.009) were associated with CL. Sodium stibogluconate therapy had a 41% cure rate, less than previously reported in Peru (~70%; P
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En línea:
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http://doi.org/10.4269/ajtmh.15-0107
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