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            <funder>This work was supported by the University of French Guiana and the Ministère Français de l'Enseignement Supérieur et de la Recherche Scientifique.</funder>
            <funder>This work has benefited from an "Investissement d’Avenir" grant managed by Agence Nationale de la Recherche (CEBA, ref. ANR-10-LABX-25-01).</funder>
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                <title level="j">Clinical Microbiology and Infection</title>
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                <term xml:lang="en">LRV1</term>
                <term xml:lang="en">Leishmania guyanensis</term>
                <term xml:lang="en">genotype</term>
                <term xml:lang="en">pentamidine</term>
                <term xml:lang="en">treatment failure</term>
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              <p>OBJECTIVES:The outcome of American tegumentary leishmaniasis (ATL) may depend on the presence of the Leishmania RNA virus (LRV). This virus may be involved in treatment failure. We aimed to determine whether genetic clusters of LRV1 are involved in this therapeutic outcome.METHODS:The presence of LRV1 was assessed in 129 L. guyanensis isolates from patients treated with pentamidine in French Guiana. Among the 115 (89%) isolates found to carry LRV1, 96 were successfully genotyped. Patient clinical data were linked to the LRV data.RESULTS:The rate of treatment failure for LRV1-positive isolates was 37% (15/41) versus 40% (2/5) among LRV1-negative isolates (p = 0.88). Concerning LRV1 genotypes, two predominant LRV1 groups emerged, groups A (23% (22/96)) and B (70% (67/96)). The treatment failure rate was 37% (3/8) for group A and 45% (9/20) for group B (p = 0.31).CONCLUSION:Neither the presence or genotype of LRV1 in patients with L. guyanensis seemed to correlate with pentamidine treatment failure.</p>
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              <org type="consortium">We thank all trainees who participated in this project at the level of experimental work (Claudiane FLORAT, Yasmine AUGUSTE, Ruthly JEAN-BAPTISTE, Keïta BAGADI, Kévin JOSEPH). We also thank all CHC staff (Audrey Ambouille, Géraldine Gangasing, Philippe Travers, Basma Guarmit, Céline Michaud) and health centers staff (Maripasoula: Christelle Maabo, Wilmina Alfred, Melaine Boce and their colleagues, Papaichton: Naïka Amayota and colleagues, in Cacao: Malika Miquel and colleagues, in Saint Georges: Eric Crougneau and colleagues, in Apatou: Pauline Alifons and colleagues, in Saül: Séverine and colleagues, in Trois sauts: Benoit Quentin, Laure Gerold and colleagues) who helped us to carry out this project. We thank Antoine Adenis for his help in the sensitivity study. We thank reviewers and editor for their advice.</org>
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