Prophylactic effect of cutaneous leishmaniasis against COVID-19: a case-control field assessment.


Journal

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
ISSN: 1878-3511
Titre abrégé: Int J Infect Dis
Pays: Canada
ID NLM: 9610933

Informations de publication

Date de publication:
Sep 2022
Historique:
received: 14 05 2021
revised: 18 09 2021
accepted: 21 09 2021
pubmed: 28 9 2021
medline: 9 9 2022
entrez: 27 9 2021
Statut: ppublish

Résumé

We assessed the potential relationship between COVID-19 and laboratory-confirmed cutaneous leishmaniasis (CL)-registered cases with a history of scarring, compared with volunteer participants without history of CL. This case-control retrospective study was conducted in southeastern Iran with a high anthroponotic cutaneous leishmaniasis (ACL) burden. Overall, n=1010 CL cases (n=479 male, n=531 female) were evaluated for infection with SARS-CoV-2. In the CL case group, 2 men and 1 woman (0.3% in total) had a mild form of COVID-19 disease; none were hospitalized or died. In contrast, of n=2020 participants without history of CL, n=57 (2.9%) contracted laboratory-confirmed COVID-19, including mild (66.7%), hospitalized (26.3%), critical (3.5%) and fatal (3.5%). There was a strong negative association between CL infection and COVID-19. The burden of COVID-19 in CL-cured participants significantly reduced the morbidity (odds ratio: 0.12; CI: 0.03-0.30; P <0.001) and mortality (percentile: -4.10, -0.02). Participants with a history of CL scar had significantly reduced incidence of COVID-19 morbidity and mortality. The cross-protection mediated by CL may retard COVID-19 in endemic countries. However, further longitudinal studies are needed to explore the potential profile and duration of this protection offered by CL against COVID-19.

Identifiants

pubmed: 34571149
pii: S1201-9712(21)00757-8
doi: 10.1016/j.ijid.2021.09.050
pmc: PMC8461267
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

155-161

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.

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Auteurs

Mehdi Bamorovat (M)

Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran. Electronic address: mehdimorovat@ymail.com.

Iraj Sharifi (I)

Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran. Electronic address: Iraj.sharifi@yahoo.com.

Mohammad Reza Aflatoonian (MR)

Research Center for Tropical and Infectious Diseases, Kerman University of Medical Sciences, Kerman, Iran.

Ali Karamoozian (A)

Research Center for Modeling in Health, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Amirhossein Tahmouresi (A)

Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran.

Abdollah Jafarzadeh (A)

Department of Immunology, Kerman University of Medical Sciences, Kerman, Iran.

Amireh Heshmatkhah (A)

Dadbin Health Clinic, Kerman University of Medical Sciences, Kerman, Iran.

Fatemeh Sharifi (F)

Pharmaceutics Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran.

Ehsan Salarkia (E)

Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran.

Tabandeh Khaleghi (T)

Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran.

Ahmad Khosravi (A)

Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran.

Maryam Nooshadokht (M)

Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran; Pathobiology Department, Faculty of Veterinary Medicine, Shahid Bahonar University of Kerman, Kerman, Iran.

Mehdi Borhani Zarandi (MB)

Research Center for Hydatid Disease in Iran, Kerman University of Medical Sciences, Kerman, Iran.

Maryam Barghi (M)

Department of Biochemistry, Faculty of Veterinary Medicine, Shiraz University, Shiraz, Iran.

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Classifications MeSH