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

SUMMARY 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.

Bibliographic Details

Main Authors:	SANGENIS,Luiz Henrique Conde, DE SOUSA,Andréa Silvestre, SPERANDIO DA SILVA,Gilberto Marcelo, XAVIER,Sérgio Salles, MACHADO,Carolina Romero Cardoso, BRASIL,Patrícia, DE CASTRO,Liane, DA SILVA,Sidnei, GEORG,Ingebourg, SARAIVA,Roberto Magalhães, BRASIL,Pedro Emmanuel Alvarenga Americano do, HASSLOCHER-MORENO,Alejandro Marcel
Format:	Digital revista
Language:	English
Published:	Instituto de Medicina Tropical de São Paulo 2015
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652015000400361
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