Razika Benikhlef

Background: Leishmaniasis is a zoonotic vector-borne disease and a significant global public health concern worldwide and in Algeria. In this study, we investigated the potential role of ticks and fleas as carriers of Leishmania in endemic regions of Algeria. Methods: Adult ectoparasites were collected from reservoir dogs and cohabiting animals across three provinces: Tizi-Ouzou (northeast), M’Sila (southeast), and Tébessa (extreme east). A subset of 247 ectoparasites was randomly selected for Leishmania DNA screening using ITS1-PCR. Results: Morphological identification revealed two tick species, Rhipicephalus turanicus (378 specimens) and Rhipicephalus sanguineus s.l (127 specimens), and one flea species, Ctenocephalides felis (94 specimens). Dogs were the most heavily infested hosts (74.12%), followed by sheep (9.51%) and cats (9.34%). Leishmania DNA was detected in 36.43% (90/247) of the tested specimens, with higher positivity in ticks (41.32%) compared to fleas (17.64%). Infection rates varied by host species, with dogs harboring the majority of positive ectoparasites (62/90), primarily R. sanguineus s.l (19/30) and R. turanicus (40/115). Leishmania DNA was also detected in ectoparasites collected from cats and sheep, whereas goats and rabbits were free from Leishmania DNA. Conclusions: This investigation highlights the high detection rate of Leishmania DNA in ticks and fleas from animals in Algerian endemic regions, indicating exposure to infected hosts. Together with previous reports, these findings support the view that ticks and fleas may act as incidental hosts or mechanical carriers of the parasite. However, their role in parasite transmission remains unconfirmed and warrant further investigation, particularly through studies assessing vector competence. These results emphasize the need for additional research to clarify the contribution of these ectoparasites to Leishmania transmission and multi-host dynamics.

Background: Leishmaniasis is a zoonotic vector-borne disease and a significant global public health concern worldwide and in Algeria. In This study we have investigated the potential role of ticks and fleas as carriers of Leishmania in endemic regions of Algeria. Methods: Adult ectoparasites were collected from reservoir dogs and cohabiting animals across three provinces: Tizi-Ouzou (northeast), M'Sila (southeast), and Tébessa (extreme east). A subset of 247 ectoparasites was randomly selected for Leishmania DNA screening using ITS1-PCR. Results: Morphological identification revealed two tick species, Rhipicephalus turanicus (378 specimens) and Rhipicephalus sanguineus s.l (127 specimens), and one flea species, Ctenocephalides felis (94 specimens). Dogs were the most heavily infested hosts (74.12%), followed by sheep (9.51%) and cats (9.34%). Leishmania DNA was detected in 36.43% (90/247) of the tested specimens, with higher positivity in ticks (41.32%) compared to fleas (17.64%). Infection rates varied by host species, with dogs harboring the majority of positive ectoparasites (62/90), primarily R. sanguineus s.l (19/30) and R. turanicus (40/115). Leishmania DNA was also detected in ectoparasites collected from cats and sheep, whereas goats and rabbits were free from Leishmania DNA. Conclusions: This investigation highlights the high detection rate of Leishmania DNA in ticks and fleas from animals in Algerian endemic regions, indicating exposure to infected hosts. Together with previous reports, these findings support the view that ticks and fleas may act as incidental hosts or mechanical carriers of the parasite. However, their role in parasite transmission remains unconfirmed and warrant further investigation, particularly through studies assessing vector competence. These results emphasize the need for additional research to clarify the contribution of these ectoparasites to Leishmania transmission and multi-host dynamics.

Algeria ranks second after Afghanistan for the incidence of cutaneous leishmaniasis (CL) worldwide. Here, we report a 34-years retrospective analysis of CL in Algeria and focused on the most affected region, the M’Sila province. All 66 cutaneous isolates corresponded to Leishmania (L.) major. Our study of the sandfly and rodent fauna further highlighted the high density of Phlebotomus papatasi and additional phlebotomine species of medical importance, not previously identified in M’Sila. Wild rodents belonging to nine species were trapped in M’Sila, and Psammomys obesus and Meriones shawi were found infected by L. major. In addition, Leishmania infantum was isolated from two visceral leishmaniasis cases, one dog and its proven vectors (P. perniciosus, P. longicuspis, and P. perfiliewi) inventoried during the survey. The high incidence of CL in the M’Sila province is likely a consequence of the increase in minimum temperatures recorded that constitutes suitable conditions for establishing a high endemicity and leads to an explosive rise in leishmaniases cases in this region. A thorough investigation of the underlying risk factors is urgently needed to detect new cases earlier. All these would improve the preparedness to fight the disease.

Two forms of cutaneous leishmaniasis are endemic in Algeria. Zoonotic cutaneous leishmaniasis caused by Leishmania major is widespread in the steppe regions of the northern Sahara. Sporadic cutaneous leishmaniasis caused by Leishmania infantum occurs in the north along the coastline. The main causative agent for the sporadic form is Leishmania infantum zymodeme MON-24. It has been isolated from the sandfly vector Phlebotomus perfiliewi. However all attempts to isolate this variant from dogs, i.e., the main reservoir of Leishmania infantum, have failed. The authors report the first successful detection of Leishmania infantum MON-24 in the dog.

In Algeria, visceral leishmaniasis is caused principally by Leishmania infantum MON-1, a common agent of the disease on the edges of the mediterranean basin. Other zymodemes (MON-34 and MON-80) of the same complex have also been isolated from immunologically competent patients. In the present study, the authors report the presence of Leishmania infantum MON-24, the main agent of cutaneous leishmaniasis in northern Algeria, in five children with visceral leishmaniasis.