OBJECTIVES: This study aimed to determine the allelic profiles of Treponema pallidum in patients confirmed with syphilis in Cuba (2018-2019) and to explore mutations leading to macrolide and tetracycline resistance. METHODS: Multilocus sequence typing and polymerase chain reaction of rrn loci (23S and 16S rDNA), followed by Sanger sequencing, were used to define the allelic profile of TPA and resistance mutations, respectively. RESULTS: Allelic profile 1.3.1 and the recombinant profile were identified, with 15.7.3 having an increased frequency. We did not detect the presence of the T. pallidum subspecies endemicum among syphilis patients, as in previous reports. A high frequency of macrolide-resistant strains and the absence of mutations potentially causing tetracycline resistance were found. CONCLUSIONS: Understanding the current status of treponemal infection in Cuban patients provides insights into the syphilis epidemiology.
- MeSH
- genotyp MeSH
- lidé MeSH
- makrolidy farmakologie MeSH
- syfilis * epidemiologie MeSH
- Treponema pallidum * genetika MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Kuba MeSH
- MeSH
- dospělí MeSH
- lidé MeSH
- polymerázová řetězová reakce metody MeSH
- senzitivita a specificita MeSH
- sérologická diagnostika syfilis metody MeSH
- syfilis diagnóza farmakoterapie MeSH
- Treponema pallidum genetika izolace a purifikace MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Kuba MeSH
BACKGROUND: The increased prevalence of syphilis in Cuba prompted us to map the circulating Treponema pallidum subsp. pallidum allelic profiles in this geographic region. METHODS: Samples were collected from 2012 to 2017, from 83 male patients with ulcers or skin lesions, and were examined using multilocus sequence typing. Additionally, we analyzed the 23S rDNA and 16S rDNA regions for the presence of possible mutations leading to macrolide and tetracycline resistance. RESULTS: Among 94% of fully typed strains, we found 7 different allelic profiles, of which 4 had not been previously described. More than 87% of patients were infected with the T. pallidum SS14-like group and only 8.2% with T. pallidum Nichols-like group. As in other countries, the 1.3.1 allelic profile (ie, SS14-like) was the most common. In addition, 1 of the newly described allelic profiles represents T. pallidum strains that arose by recombination events between members of different T. pallidum subgroups. More than 90% of patients were infected with treponemes harboring the A2058G mutation. However, we found no potential tetracycline-resistant T. pallidum mutations. CONCLUSIONS: Our results suggest that, in Cuba, tetracycline antibiotics could be used to treat syphilis in penicillin-allergic patients instead of macrolides.
- MeSH
- alely MeSH
- antibakteriální látky MeSH
- bakteriální léková rezistence genetika MeSH
- dospělí MeSH
- lidé MeSH
- makrolidy terapeutické užití MeSH
- multilokusová sekvenční typizace MeSH
- mutace MeSH
- syfilis farmakoterapie mikrobiologie MeSH
- techniky typizace bakterií MeSH
- tetracyklin terapeutické užití MeSH
- Treponema pallidum klasifikace genetika MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Kuba MeSH
OBJECTIVES: Bejel, caused by Treponema pallidum subsp. endemicum (TEN), was until now considered as a non-venereal disease endemic in areas with hot and dry climates. This study has identified TEN in clinical samples from Cuban patients previously diagnosed with syphilis. METHODS: We performed sequencing-based molecular typing on 92 samples from Cuban individuals diagnosed with syphilis. Moreover, to differentiate T. pallidum subspecies, multi-locus sequence analysis (MLSA) was designed and was applied to suspicious samples. RESULTS: Nine samples, from six patients, had a nucleotide sequence similarity (at all typing loci) to the Bosnia A genome, which is the infectious agent of bejel. Additionally, MLSA clearly supported a TEN classification for the treponemal samples. Clinical and epidemiological data from the six patients also suggested sexual transmission of bejel as well as the endemicity of this rare treponematosis in Cuba. CONCLUSIONS: Molecular identification of Treponema pallidum subsp. endemicum, the agent of bejel, in Cuban patients diagnosed with syphilis indicates the clear limitations of a diagnosis based exclusively on serology, geographical occurrence, clinical symptoms and anamnestic data. This finding has important implications for Global Public Health Systems, including paradigm changes regarding the location of endemic outbreaks, clinical aspects and transmission of this neglected disease.
- MeSH
- dospělí MeSH
- fylogeneze MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- molekulární typizace MeSH
- syfilis epidemiologie mikrobiologie MeSH
- Treponema pallidum klasifikace genetika MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Kuba MeSH
Two new species of the genus Hydraena Kugelann, 1794 collected from hygropetric habitats in eastern Cuba are described: Hydraena (Hydraenopsis) blancae sp. nov. from the Nipe-Sagua-Baracoa mountain range, and Hydraena (Hydraenopsis) matthiasi sp. nov. from the Sierra Maestra mountain range. Both species, especially the latter, are closely related to Hydraena (Hydraenopsis) franklyni Deler-Hernández & Delgado, 2012. Diagnostic characters for both new species are provided and illustrated; habitat information and distributional data are also included. An updated key to Cuban species of Hydraena is provided. With this study, the number of species of Hydraena known from Cuba raises to six.
Preimaginal stages of the six species of Hydraenidae presently known from Cuba were obtained by rearing adults in the laboratory. Eggs of Hydraena perkinsi Spangler, 1980, H. decui Spangler, 1980 and H. franklyni Deler-Hernández & Delgado, 2012 are described and illustrated for the first time. The first instar larva of Gymnochthebius fossatus (LeConte, 1855) is redescribed, adding some new remarkable morphological characters including what could be the first abdominal egg-burster reported for this family. All larval instars of H. perkinsi, H. guadelupensis Orchymont, 1923 and Ochthebius attritus LeConte, 1878 are described and illustrated for the first time, with a special emphasis on their chaetotaxy. The second instar larva of G. fossatus along with first and third instar larvae of H. decui and H. franklyni are also studied for the first time. The pupal morphology and vestiture of a species belonging to the genus Hydraena are described for the first time, based on the pupa of H. perkinsi. Biological notes for several preimaginal stages of the studied species are also given.
- MeSH
- lidé MeSH
- nádory plic * farmakoterapie imunologie MeSH
- protinádorové vakcíny * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- novinové články MeSH
- Geografické názvy
- Kuba MeSH
- MeSH
- diabetes mellitus 2. typu * epidemiologie prevence a kontrola MeSH
- hmotnostní přírůstek MeSH
- hmotnostní úbytek MeSH
- kardiovaskulární nemoci mortalita MeSH
- lidé MeSH
- obezita * epidemiologie MeSH
- omezení příjmu potravy MeSH
- prevalence MeSH
- socioekonomické faktory * MeSH
- Check Tag
- lidé MeSH
- Geografické názvy
- Česká republika MeSH
- Kuba MeSH
