{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T06:11:50Z","timestamp":1791958310205,"version":"4.3.4"},"reference-count":47,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,8,5]]},"abstract":"<jats:p>\n                    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\u201336 weeks (median = 8). Most cases had one lesion (66%), primarily ulcerative (49%), and in the legs (57%). Real-time polymerase chain reaction (PCR) identified\n                    <jats:italic>Leishmania<\/jats:italic>\n                    (\n                    <jats:italic>Viannia<\/jats:italic>\n                    )\n                    <jats:italic>braziliensis<\/jats:italic>\n                    (59\/61 = 97%) and\n                    <jats:italic>L.<\/jats:italic>\n                    (\n                    <jats:italic>V.<\/jats:italic>\n                    )\n                    <jats:italic>guyanensis<\/jats:italic>\n                    (2\/61 = 3%). Being male (risk ratio [RR] = 4.01;\n                    <jats:italic>P<\/jats:italic>\n                    = 0.034), not wearing long-sleeve clothes (RR = 1.71;\n                    <jats:italic>P<\/jats:italic>\n                    = 0.005), and sleeping in open rooms (RR = 1.80;\n                    <jats:italic>P<\/jats:italic>\n                    = 0.009) were associated with CL. Sodium stibogluconate therapy had a 41% cure rate, less than previously reported in Peru (\u223c70%;\n                    <jats:italic>P<\/jats:italic>\n                    &lt; 0.001). After emphasizing pre-deployment education and other basic prevention measures, trainees in the following year had lower incidence (1\/278 = 0.4%;\n                    <jats:italic>P<\/jats:italic>\n                    &lt; 0.001). Basic prevention can reduce CL risk in deployed militaries.\n                  <\/jats:p>","DOI":"10.4269\/ajtmh.15-0107","type":"journal-article","created":{"date-parts":[[2015,6,15]],"date-time":"2015-06-15T22:06:36Z","timestamp":1434405996000},"page":"340-346","source":"Crossref","is-referenced-by-count":35,"title":["Outbreak of Cutaneous Leishmaniasis in Peruvian Military Personnel Undertaking Training Activities in the Amazon Basin, 2010"],"prefix":"10.4269","volume":"93","author":[{"given":"Marianela","family":"Or\u00e9","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eliana","family":"S\u00e1enz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rufino","family":"Cabrera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan F.","family":"Sanchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxy B.","family":"De Los Santos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen M.","family":"Lucas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge H.","family":"N\u00fa\u00f1ez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly A.","family":"Edgel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justino","family":"Sopan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andres M.","family":"Carnero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. Christian","family":"Baldeviano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan C.","family":"Arrasco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul C. F.","family":"Graf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andres G.","family":"Lescano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"ref1","series-title":"Lancet","first-page":"1561","article-title":"Advances in leishmaniasis","volume":"366","author":"Murray","year":"2005"},{"key":"ref2","series-title":"PLoS One","first-page":"e35671","article-title":"Leishmaniasis worldwide and global estimates of its incidence","volume":"7","author":"Alvar","year":"2012"},{"key":"ref3","series-title":"Comp Immunol Microbiol Infect Dis","first-page":"305","article-title":"Leishmaniasis: current situation and new perspectives","volume":"27","author":"Desjeux","year":"2004"},{"key":"ref4","series-title":"Lancet Infect Dis","first-page":"581","article-title":"Cutaneous leishmaniasis","volume":"7","author":"Reithinger","year":"2007"},{"key":"ref5","series-title":"Control of the Leishmaniases","author":"World Health Organization","year":"2010"},{"key":"ref6","series-title":"Am J Trop Med Hyg","first-page":"312","article-title":"Geographic distribution and clinical description of leishmaniasis cases in Peru","volume":"59","author":"Lucas","year":"1998"},{"key":"ref7","series-title":"Sala de Situaci\u00f3n de Salud. 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