Chagas Disease in Mexico: Report of 14 Cases of Chagasic Cardiomyopathy in Children
Por:
Maria Salazar-Schettino, Paz, Cabrera-Bravo, Margarita, Vazquez-Antona, Clara, Zenteno, Edgar, De Alba-Alvarado, Mariana, Torres Gutierrez, Elia, Guevara Gomez, Yolanda, Gabriela Perera-Salazar, Maria, Garcia de la Torre, Guadalupe, Irene Bucio-Torres, Martha
Publicada:
1 nov 2016
Resumen:
Chagas disease is a parasitic infection mainly found in Latin America;
it is transmitted by a triatomine, also known as assassin bug or kissing
bug. In humans, the parasite causes mostly cardiac disorders. Two-thirds
of the Mexican territory are regarded as risk areas for vector
transmission of Trypanosoma cruzi, the causal agent. The parasite can be
found as a blood-borne trypomastigote or as an intracellular amastigote.
The progression and severity of lesions could be due to frequent
reinfections or to infection by highly virulent strains. A total of
3,327 individuals younger than 18 years old, living in risk areas for
this disease in the rural setting of the States of Queretaro, San Luis
Potosi, and Veracruz, underwent a seroepidemiological study. Among them,
37 subjects were seropositive for T. cruzi, and were studied to look for
signs of cardiac pathology, which has only been reported in adults. A
clinical record was prepared for all included individuals, and
electrocardiography (ECG) and echocardiography (ECHO) studies were
performed; 25 cases showed lesions compatible with the onset of Chagas
cardiomyopathy. The other 12 patients showed either normal ECG and ECHO
data or showed abnormal parameters that were not regarded as
significant. Lesions found in the onset of Chagas cardiomyopathy in
children are herein reported, along with 14 cases of cardiac pathology
compatible with Chagas disease. Our results indicate that patients
younger than 18 years can show a cardiac pathology similar to that
observed in adults.
Filiaciones:
Maria Salazar-Schettino, Paz:
Univ Nacl Autonoma Mexico, Fac Med, Dept Microbiol & Parasitol, Edificio A,2 Piso,Ciudad Univ, Mexico City, DF, Mexico
Cabrera-Bravo, Margarita:
Univ Nacl Autonoma Mexico, Fac Med, Dept Microbiol & Parasitol, Edificio A,2 Piso,Ciudad Univ, Mexico City, DF, Mexico
Vazquez-Antona, Clara:
Natl Inst Cardiol Ignacio Chavez, Mexico City, DF, Mexico
Zenteno, Edgar:
Univ Nacl Autonoma Mexico, Fac Med, Dept Microbiol & Parasitol, Edificio A,2 Piso,Ciudad Univ, Mexico City, DF, Mexico
De Alba-Alvarado, Mariana:
Univ Nacl Autonoma Mexico, Fac Med, Dept Microbiol & Parasitol, Edificio A,2 Piso,Ciudad Univ, Mexico City, DF, Mexico
Torres Gutierrez, Elia:
Univ Nacl Autonoma Mexico, Fac Med, Dept Microbiol & Parasitol, Edificio A,2 Piso,Ciudad Univ, Mexico City, DF, Mexico
Guevara Gomez, Yolanda:
Univ Nacl Autonoma Mexico, Fac Med, Dept Microbiol & Parasitol, Edificio A,2 Piso,Ciudad Univ, Mexico City, DF, Mexico
Gabriela Perera-Salazar, Maria:
Univ Nacl Autonoma Mexico, Fac Med, Invest Div, Mexico City, DF, Mexico
Garcia de la Torre, Guadalupe:
Univ Nacl Autonoma Mexico, Fac Med, Dept Publ Hlth, Mexico City, DF, Mexico
Irene Bucio-Torres, Martha:
Univ Nacl Autonoma Mexico, Fac Med, Dept Microbiol & Parasitol, Edificio A,2 Piso,Ciudad Univ, Mexico City, DF, Mexico
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