Chronic Chagas cardiomyopathy
First described by Carlos Justiniano Ribeiro Chagas
(1879-1934) in 1909, Chagas disease (CD) or American
trypanosomiasis is caused by the protozoan parasite
Trypanosoma cruzi. This zoonotic infectious disease
follows a sylvatic cycle where blood-sucking triatomine
insect (known as kissing bug or in Portuguese as
“barbeiro”), acquire the parasite by sucking small
mammals’ blood and transmit to humans through
their feces, left close to the bite site. The parasite,
in turn, reaches the human blood stream when the
parasite‑laden feces are dispersed at the itching
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