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Published on: September 19, 2019
[Chagasic Cardiopathy in a child: Case report]
Nina Méndez-Domínguez1, Claudia Chi-Méndez2, Jorge Canto-Losa1
1Universidad Marista de Mérida, México.
Early cardiac evaluation is crucial for pediatric Chagas disease patients. This case highlights atypical, rapid progression of chagasic cardiopathy, challenging the assumption of a long asymptomatic phase.
Area of Science:
- Infectious Diseases
- Cardiology
- Pediatrics
Background:
- Chagas disease, caused by Trypanosoma cruzi, affects millions in the Americas.
- It typically presents with an acute phase followed by a prolonged asymptomatic period before chronic manifestations.
Observation:
- A pediatric patient from southern Mexico presented with an atypical clinical course of Chagas disease.
- Initial symptom was a chagoma, followed by rapid cardiac involvement within months.
Findings:
- Electrocardiogram revealed sinus tachycardia, left atrium distension, P wave enlargement, and prolonged QT interval.
- Radiography showed cardiomegaly, and echocardiogram indicated left atrial and ventricular dilation.
Implications:
- This case underscores the need for early cardiac screening in pediatric Chagas disease.
- It challenges the traditional view of a long asymptomatic interval, suggesting early-onset cardiopathy is possible.
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