Sand fly gnat sits on a leaf.Photo:Getty
Getty
A flesh-eating parasite once thought to only be a danger for travelers beyond the U.S. has now been detected in patients who say they have not traveled outside of the country, according to scientists at the Centers for Disease Control and Prevention (CDC).
Analysis from the CDC has found that Leishmania mexicana, a tropical, flesh-eating parasite that causes skin sores and can create long-term scars, has likely been spreading locally through sand flies, according toCBS News.
Sand fly feeds on a human leg in New Zealand.Getty
CNNreported that the parasite can also disable skin nerves, meaning the sores may not be painful but they can disfigure the site of a bite. As Kamb told the outlet, “Sometimes you don’t even notice that you’ve been bitten."
Visceral leishmaniasis — a more severe type of leishmaniasis not believed to be found in the U.S., per CNN — can also impact the liver, spleen and bone marrow. It can also be fatal, per the outlet. Still, asNewsweeknotes, it results in between 20,000 and 30,000 a year and the parasite it derives from is thought to be coming to the U.S. via the importation of dogs.
Dr. Luiz Oliveira of the National Institutes of Health, who has previously studied leishmaniasis from sand flies, told CNN that “it’s not just a traveler’s disease anymore.” According to the World Health Organization, it has been listed as an “epidemic” in the U.S., as well as in several other countries.
“People could be asymptomatic and not develop anything, but when people are symptomatic, they develop ulcers on their skin and sometimes it starts like a little tiny volcano with a crater in it,” Kamb said.
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The latest study itself featured researchers looking at 2,100 skin samples sent to the CDC between 2005 and 2019, with samples from all 50 states, Puerto Rico and the Virgin Islands. Over half of the samples tested positive, while 86 of which came from patients without a history of travel, per CNN.
“Most doctors, if you ask them, ‘Is there leishmania in the U.S.?’ They’ll say ‘no way’ or ‘What is that?’" Dr. Gideon Wasserberg, a professor at the University of North Carolina at Greensboro, who was not involved in the study, told CNN.
“There have been previous indications of local transmission based on a small number of case reports, but now, for the first time, we have a distinct genetic fingerprint from a relatively large cluster, providing further evidence that leishmaniasis may be well-established in some parts of the United States,” Kamb toldNewsweek.
While bug sprays that contain DEET can repel sand flies, CNN noted that leishmaniasis treatment for those already bitten involves a month-long course with medications such as amphotericin B.
source: people.com
