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Revista do Instituto de Medicina Tropical de São Paulo

versão impressa ISSN 0036-4665versão On-line ISSN 1678-9946


SANGENIS, Luiz Henrique Conde et al. FIRST REPORT OF ACUTE CHAGAS DISEASE BY VECTOR TRANSMISSION IN RIO DE JANEIRO STATE, BRAZIL. Rev. Inst. Med. trop. S. Paulo [online]. 2015, vol.57, n.4, pp.361-364. ISSN 0036-4665.

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.

Palavras-chave : Chagas disease; Transmission; Triatoma vitticeps; Rio de Janeiro.

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