FIRST REPORT OF ACUTE CHAGAS DISEASE BY VECTOR TRANSMISSION IN RIO DE JANEIRO STATE, BRAZIL

Authors

  • Luiz Henrique Conde SANGENIS Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Andréa Silvestre DE SOUSA Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Gilberto Marcelo SPERANDIO DA SILVA Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Sérgio Salles XAVIER Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Carolina Romero Cardoso MACHADO Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Patrícia BRASIL Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Liane DE CASTRO Fundação Oswaldo Cruz; Intituto Nacional de Infectologia Evandro Chagas
  • Sidnei DA SILVA Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Ingebourg GEORG Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Roberto Magalhães SARAIVA Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • P. E. A. A. BRASIL Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas
  • Alejandro Marcel HASSLOCHER-MORENO Fundação Oswaldo Cruz; Instituto Nacional de Infectologia Evandro Chagas

Abstract

Chagas disease (CD) is an endemic anthropozoonosis from Latin America of which the main means of transmission is the contact of skin lesions or mucosa with the feces of triatomine bugs infected by Trypanosoma cruzi. In this article, we describe the first acute CD case acquired by vector transmission in the Rio de Janeiro State and confirmed by parasitological, serological and PCR tests. The patient presented acute cardiomyopathy and pericardial effusion without cardiac tamponade. Together with fever and malaise, a 3 cm wide erythematous, non-pruritic, papule compatible with a "chagoma" was found on his left wrist. This case report draws attention to the possible transmission of CD by non-domiciled native vectors in non-endemic areas. Therefore, acute CD should be included in the diagnostic workout of febrile diseases and acute myopericarditis in Rio de Janeiro.

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Published

2015-08-01

How to Cite

SANGENIS, L. H. C., DE SOUSA, A. S., SPERANDIO DA SILVA, G. M., XAVIER, S. S., MACHADO, C. R. C., BRASIL, P., DE CASTRO, L., DA SILVA, S., GEORG, I., SARAIVA, R. M., BRASIL, P. E. A. A., & HASSLOCHER-MORENO, A. M. (2015). FIRST REPORT OF ACUTE CHAGAS DISEASE BY VECTOR TRANSMISSION IN RIO DE JANEIRO STATE, BRAZIL. Revista Do Instituto De Medicina Tropical De São Paulo, 57(4), 361-364. Retrieved from https://www.revistas.usp.br/rimtsp/article/view/105553

Issue

Section

Case Report