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Revista da Sociedade Brasileira de Medicina Tropical

Print version ISSN 0037-8682

Abstract

RASSI, Anis; REZENDE, Joffre Marcondes de  and  RASSI JUNIOR, Anis. Advanced megaesophagus (Group III) secondary to vector-borne Chagas disease in a 20-month-old infant. Rev. Soc. Bras. Med. Trop. [online]. 2012, vol.45, n.2, pp.266-268. ISSN 0037-8682.  https://doi.org/10.1590/S0037-86822012000200026.

The authors report the case of a female infant with Group III (or Grade III) megaesophagus secondary to vector-borne Chagas disease, resulting in severe malnutrition that reversed after surgery (Heller technique). The infant was then treated with the antiparasitic drug benznidazole, and the infection was cured, as demonstrated serologically and parasitologically. After follow-up of several years without evidence of disease, with satisfactory weight and height development, the patient had her first child at age 23, in whom serological tests for Chagas disease yielded negative results. Thirty years after the initial examination, the patient's electrocardiogram, echocardiogram, and chest radiography remained normal.

Keywords : Infant; Megaesophagus (Grade III); Vector-borne Chagas disease.

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