(2016) Correlations between peripheral parasite load and common clinical and laboratory alterations in dogs with visceral leishmaniasis. Preventive Veterinary Medicine, 132 . pp. 83-87.
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Intensity of peripheral parasite infection has an important role in the transmission of 25Leishmania spp. from one host to another. As parasite load quantification is still an expensive 26 procedure to be used routinely in epidemiological surveillance, the use of surrogate predictors may be 27 an important asset in the identification of dogs with high transmitting ability. The present study 28 examined whether common clinical and laboratory alterations can serve as predictors of peripheral 29 parasitism in dogs naturally infected with Leishmania spp. Thirty-seven dogs were examined in order 30 to establish correlations between parasite load (PL) in multiple peripheral tissues and common clinical 31 and laboratory findings in canine visceral leishmaniasis (CVL). Quantitative polymerase chain reaction 32 was employed to determine PL in conjunctival swabs, ear skin, peripheral blood and buffy coat. 33Additionally, a series of hematological, biochemical and oxidative stress markers were quantified. 34Correlations between net peripheral infection and severity of clinical alterations and variation in 35 laboratory parameters were assessed through a new analytical approach, namely Compressed Parasite 36Load Data (CPLD), which uses dimension reduction techniques from multivariate statistics to 37 summarize PL across tissues into a single variable. The analysis revealed that elevation in PL is 38 positively correlated with severity of clinical sings commonly observed in CVL, such as skin lesions, 39 ophthalmic alterations, onycogriphosis, popliteal lymphadenomegaly and low body mass. Furthermore, 40 increase in PL was found to be followed by intensification of non-regenerative anemia, neutrophilia, 41 eosinopenia, hepatic injury and oxidative imbalance. These results suggest that routinely used clinical 42 and laboratory exams can be predictive of intensity of peripheral parasite infection, which has an 43 important implication in the identification of dogs with high transmitting ability. 44 45