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Published on: November 5, 2021
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.
Abstract:
We report the first case series of children in Mexico living with symptomatic Chagas disease causing chronic myocardopathy. The findings suggest that children with Chagas disease may develop symptomatic chronic myocardopathy earlier than previously recognized. Our findings emphasize the importance of longitudinal cardiologic follow-up of all children identified with acute Chagas disease.In a cohort of 826 children from the state of Queretaro in Mexico, 11 were identified with positive serology (ELISA and IFI) for Chagas and were tested for electrocardiogram alterations and symptoms and signs. Four children had ECG alterations with 3 of these reporting signs and symptoms associated with the chronic phase of Chagas disease (27%; 95% CI: 6%-61%). The most common chronic symptom was chest pain, with one child also reporting dyspnea and tachycardia.
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