Outbreak of acute Chagas disease associated with oral transmission in the Rio Negro region, Brazilian Amazon

Souza-Lima, Rita de Cassia de, Barbosa, Maria das Gracas Vale, Coura, Jose Rodrigues, Arcanjo, Ana Ruth Lima, Nascimento, Adelaide da Silva, Ferreira, Joao Marcos Bemfica Barbosa, Magalhaes, Laylah Kelre, Albuquerque, Bernardino Claudio de, Araujo, Guilherme Alfredo Novelino, Guerra, Jorge Augusto de Oliveira

Outbreak of acute Chagas disease associated with oral transmission in the Rio Negro region, Brazilian Amazon

AUTOR(ES)

Souza-Lima, Rita de Cassia de, Barbosa, Maria das Gracas Vale, Coura, Jose Rodrigues, Arcanjo, Ana Ruth Lima, Nascimento, Adelaide da Silva, Ferreira, Joao Marcos Bemfica Barbosa, Magalhaes, Laylah Kelre, Albuquerque, Bernardino Claudio de, Araujo, Guilherme Alfredo Novelino, Guerra, Jorge Augusto de Oliveira

FONTE

Rev. Soc. Bras. Med. Trop.

DATA DE PUBLICAÇÃO

10/05/2013

RESUMO

Introduction Chagas disease is considered as emerging in the Brazilian Amazon, usually occurring in acute outbreaks. Methods We describe 17 cases of acute Chagas disease in Rio Negro, Amazonas. Results There were 15 males (average age, 31.3 years), all positive for Trypanosoma cruzi in fresh blood smear examination, and 14 positive by xenodiagnosis and PCR. The top clinical manifestations were fever, asthenia, abdominal pain, and palpitations. Electrocardiograms featured low-voltage QRS, anterosuperior divisional block, and right bundle branch block associated with anterosuperior divisional block. Conclusions All patients had consumed açaí products from Monte Alegre in the rural area around Santa Izabel do Rio Negro, Brazil.