Emerging and under-recognized Chagas cardiomyopathy in non-endemic countries |
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Authors: | Cortez Joana Providência Rui Ramos Evelise Valente Cristina Seixas Jorge Meruje Manuela Leitão-Marques António Vieira António |
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Institution: | Joana Cortez, Evelise Ramos, Cristina Valente, António Vieira, Infectious Diseases Department, Coimbra's Hospital Centre and University, 3041-801 Coimbra, Portugal. |
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Abstract: | Due to recent population emigration movements, an epidemic of Chagas disease is currently menacing most developed countries. The authors report the case of a 53-year-old Brazilian woman living in Europe for the last 10 years who developed heart failure symptoms, having a previous symptomatic sinus node disease with a pacemaker implant at age of 40 years. The diagnosis was based on serology and myocardial biopsy and the patient was treated with nifurtimox. The authors emphasize the need of a high level of suspicion in patients with suggestive epidemiology and the need of populational screening of specific high risk groups. New treatment options are also discussed. |
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Keywords: | Chagas disease Chagas cardiomyopathy Dysrhythmia Emigration Non-endemic countries Benznidazole Nifurtimox |
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