Suspected vertical transmission of Chagas disease caused by DTU TcIV in an infection probably transmitted orally, during anoutbreak in the Brazilian Amazo

Authors

  • Vera Lúcia Teixeira de Freitas Universidade de São Paulo, Faculdade de Medicina, São Paulo, São Paulo, Brazil http://orcid.org/0000-0003-1112-081X
  • Helena Rangel Esper Universidade de São Paulo, Faculdade de Medicina, São Paulo, São Paulo, Brazil Hospital Municipal de Santarém, Núcleo de Medicina Tropical, Santarém, Pará, Brazil
  • Erika Shimoda Nakanishi Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, São Paulo, São Paulo, Brazil
  • Mariana Ramos Piotto Universidade de São Paulo, Faculdade de Medicina, São Paulo, São Paulo, Brazil
  • João Guilherme Pontes Lima Assy Hospital Municipal de Santarém, Núcleo de Medicina Tropical, Santarém, Pará, Brazil
  • Olívia Campos Pinheiro Berreta Berreta Hospital Municipal de Santarém, Núcleo de Medicina Tropical, Santarém, Pará, Brazil
  • Renato do Carmo Said Hospital Municipal de Santarém, Núcleo de Medicina Tropical, Santarém, Pará, Brazil
  • Aluisio Augusto Cotrim Segurado Segurado Universidade de São Paulo, Faculdade de Medicina, São Paulo, São Paulo, Brazil Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, São Paulo, São Paulo, Brazil
  • Noemia Barbosa Carvalho Carvalho Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, São Paulo, São Paulo, Brazil
  • Francisco Oscar de Siqueira França Universidade de São Paulo, Faculdade de Medicina, São Paulo, São Paulo, Brazil Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, São Paulo, São Paulo, Brazil http://orcid.org/0000-0001-8510-7939
  • Marta Heloísa Lopes Universidade de São Paulo, Faculdade de Medicina, São Paulo, São Paulo, Brazil Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, São Paulo, São Paulo, Brazil

DOI:

https://doi.org/10.1590/S1678-9946202163048%20

Keywords:

Acute Chagas disease, Child. Diagnosis, Trypanosoma cruzi, DTUs, Vertical transmission, Oral outbreak

Abstract

This study describes difficulties in the monitoring of a child born during an oral outbreak of Chagas disease, in which there are several indications that the transmission occurred through the congenital route: 1. the mother was in the third trimester of pregnancy when she was infected; 2. She presented high parasitemia at the time of delivery; 3. In both, the mother and her daughter, T. cruzi was classified as DTU TcIV. The parasites were not found in the blood at birth and the infection was detected only three months later in an asymptomatic infant. As the mother and her child live in a highly endemic area, vector transmission could not be excluded during this period.

Downloads

Download data is not yet available.

Downloads

Published

2021-07-30

Issue

Vol. 63 (2021)

Section

Case Report

License

Copyright (c) 2021 Vera Lúcia Teixeira de Freitas , Helena Rangel Esper , Erika Shimoda Nakanishi, Mariana Ramos Piotto, João Guilherme Pontes Lima Assy, Olívia Campos Pinheiro Berreta Berreta , Renato do Carmo Said, Aluisio Augusto Cotrim Segurado Segurado , Noemia Barbosa Carvalho Carvalho, Francisco Oscar de Siqueira França, Marta Heloísa Lopes

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

How to Cite

Freitas , V. L. T. de ., Esper , H. R. ., Nakanishi, E. S. ., Piotto, M. R. ., Assy, J. G. P. L. . ., Berreta , O. C. P. B. ., Said, R. do C. ., Segurado , A. A. C. S. ., Carvalho, N. B. C. ., França, F. O. de S. ., & Lopes , M. H. . (2021). Suspected vertical transmission of Chagas disease caused by DTU TcIV in an infection probably transmitted orally, during anoutbreak in the Brazilian Amazo. Revista Do Instituto De Medicina Tropical De São Paulo, 63, e48. https://doi.org/10.1590/S1678-9946202163048