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Atrial fibrillation in acute Chagas disease acquired via oral transmission: a case report

Paulo Fernando Pimenta de Souza1, Rosane Cheble Domingues Pine2, Francisco Lúzio de Paula Ramos3

  • 1Universidade do Estado do Pará, Belém, PA, Brasil.

Revista Da Sociedade Brasileira De Medicina Tropical
|July 5, 2018
PubMed

Insights

This case study details a 41-year-old man with acute Chagas disease who developed atrial fibrillation (AF). Treatment led to the reversion of AF to sinus rhythm, highlighting successful management of cardiac complications in Chagas disease.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Clinical Case Study

Background:

  • Atrial fibrillation (AF) is a supraventricular arrhythmia increasing thromboembolism risk.
  • Chagas disease, prevalent in the Brazilian Amazon, affects at least 50% of patients with cardiac abnormalities.
  • Approximately 3.3% of Chagas disease patients develop AF.

Observation:

  • A 41-year-old man from Muaná, Pará State, presented with a 30-day febrile illness.
  • Acute Chagas disease was confirmed via diagnostic tests.
  • Electrocardiogram revealed new-onset atrial fibrillation.

Findings:

  • The patient received antiparasitic, anti-arrhythmic, beta-blocker, and anticoagulant therapy.
  • A 9-month follow-up showed a reversion of atrial fibrillation to normal sinus rhythm.
  • This case demonstrates a positive outcome in managing cardiac complications of acute Chagas disease.

Implications:

  • Early diagnosis and comprehensive treatment are crucial for managing cardiac manifestations of Chagas disease.
  • This case highlights the potential for successful reversion of AF in acute Chagas disease patients.
  • Further research into cardiac complication management in Chagas disease is warranted.

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