Chagas disease as a cause of symptomatic chronic myocardopathy in Mexican children

Paz Maria Salazar-Schettino1, Rafael Perera, Adela Luisa Ruiz-Hernandez

  • 1Laboratorio de Biología de Parásitos, Departmento de Microbiología y Parasitología, Facultad de Medicina, Universidad Nacional Autonoma de Mexico, Ciudad Universitaria, Mexico, Distrito Federal, CP, Mexico. pazmar@servidor.unam.mx

Insights

Children in Mexico may develop symptomatic Chagas disease myocardopathy earlier than expected. Early cardiac monitoring for pediatric Chagas disease is crucial for timely intervention and management.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pediatrics

Background:

  • Chagas disease, caused by *Trypanosoma cruzi*, is a significant public health concern.
  • Chronic Chagas disease can lead to cardiomyopathy, a serious cardiac condition.
  • Pediatric Chagas disease is often asymptomatic, with limited data on early chronic manifestations.

Observation:

  • A cohort of 826 children in Queretaro, Mexico, was screened for Chagas disease.
  • Eleven children tested positive for *Trypanosoma cruzi* antibodies.
  • Four of the 11 positive children exhibited electrocardiogram (ECG) alterations.

Findings:

  • Three children presented with symptoms of chronic Chagas disease, including chest pain, dyspnea, and tachycardia.
  • This suggests symptomatic chronic Chagas disease myocardopathy may manifest earlier in children than previously understood.
  • The prevalence of symptomatic chronic Chagas disease in this pediatric cohort was 27% (95% CI: 6%-61%).

Implications:

  • Highlights the potential for early onset of symptomatic chronic Chagas disease myocardopathy in children.
  • Underscores the critical need for longitudinal cardiologic follow-up in all children diagnosed with acute Chagas disease.
  • Emphasizes proactive screening and monitoring strategies for pediatric populations in endemic areas to prevent severe cardiac complications.

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