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

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.

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Main Authors: Freitas,Vera Lúcia Teixeira de, Esper,Helena Rangel, Nakanishi,Erika Shimoda, Piotto,Mariana Ramos, Assy,João Guilherme Pontes Lima, Berreta,Olívia Campos Pinheiro, Said,Renato do Carmo, Segurado,Aluisio Augusto Cotrim, Carvalho,Noemia Barbosa, França,Francisco Oscar de Siqueira, Lopes,Marta Heloísa
Format: Digital revista
Language:English
Published: Instituto de Medicina Tropical de São Paulo 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652021000100509
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spelling oai:scielo:S0036-466520210001005092021-06-16Suspected vertical transmission of Chagas disease caused by DTU TcIV in an infection probably transmitted orally, during anoutbreak in the Brazilian AmazonFreitas,Vera Lúcia Teixeira deEsper,Helena RangelNakanishi,Erika ShimodaPiotto,Mariana RamosAssy,João Guilherme Pontes LimaBerreta,Olívia Campos PinheiroSaid,Renato do CarmoSegurado,Aluisio Augusto CotrimCarvalho,Noemia BarbosaFrança,Francisco Oscar de SiqueiraLopes,Marta Heloísa 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.info:eu-repo/semantics/openAccessInstituto de Medicina Tropical de São PauloRevista do Instituto de Medicina Tropical de São Paulo v.63 20212021-01-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652021000100509en10.1590/s1678-9946202163048
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libraryname SciELO
language English
format Digital
author Freitas,Vera Lúcia Teixeira de
Esper,Helena Rangel
Nakanishi,Erika Shimoda
Piotto,Mariana Ramos
Assy,João Guilherme Pontes Lima
Berreta,Olívia Campos Pinheiro
Said,Renato do Carmo
Segurado,Aluisio Augusto Cotrim
Carvalho,Noemia Barbosa
França,Francisco Oscar de Siqueira
Lopes,Marta Heloísa
spellingShingle Freitas,Vera Lúcia Teixeira de
Esper,Helena Rangel
Nakanishi,Erika Shimoda
Piotto,Mariana Ramos
Assy,João Guilherme Pontes Lima
Berreta,Olívia Campos Pinheiro
Said,Renato do Carmo
Segurado,Aluisio Augusto Cotrim
Carvalho,Noemia Barbosa
França,Francisco Oscar de Siqueira
Lopes,Marta Heloísa
Suspected vertical transmission of Chagas disease caused by DTU TcIV in an infection probably transmitted orally, during anoutbreak in the Brazilian Amazon
author_facet Freitas,Vera Lúcia Teixeira de
Esper,Helena Rangel
Nakanishi,Erika Shimoda
Piotto,Mariana Ramos
Assy,João Guilherme Pontes Lima
Berreta,Olívia Campos Pinheiro
Said,Renato do Carmo
Segurado,Aluisio Augusto Cotrim
Carvalho,Noemia Barbosa
França,Francisco Oscar de Siqueira
Lopes,Marta Heloísa
author_sort Freitas,Vera Lúcia Teixeira de
title Suspected vertical transmission of Chagas disease caused by DTU TcIV in an infection probably transmitted orally, during anoutbreak in the Brazilian Amazon
title_short Suspected vertical transmission of Chagas disease caused by DTU TcIV in an infection probably transmitted orally, during anoutbreak in the Brazilian Amazon
title_full Suspected vertical transmission of Chagas disease caused by DTU TcIV in an infection probably transmitted orally, during anoutbreak in the Brazilian Amazon
title_fullStr Suspected vertical transmission of Chagas disease caused by DTU TcIV in an infection probably transmitted orally, during anoutbreak in the Brazilian Amazon
title_full_unstemmed Suspected vertical transmission of Chagas disease caused by DTU TcIV in an infection probably transmitted orally, during anoutbreak in the Brazilian Amazon
title_sort suspected vertical transmission of chagas disease caused by dtu tciv in an infection probably transmitted orally, during anoutbreak in the brazilian amazon
description 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.
publisher Instituto de Medicina Tropical de São Paulo
publishDate 2021
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652021000100509
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