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Published on: November 5, 2021
Molecular and Clinical Aspects of Chronic Manifestations in Chagas Disease: A State-of-the-Art Review
Germán J Medina-Rincón1, Sebastián Gallo-Bernal1,2,3, Paula A Jiménez4
1School of Medicine and Health Sciences, Universidad del Rosario, Bogotá 111221, Colombia.
Insights
Chagas disease, caused by Trypanosoma cruzi, leads to severe chronic cardiovascular and gastrointestinal issues. This review details parasite mechanisms, epidemiology, and current diagnosis and treatment challenges for this neglected tropical disease.
Area of Science:
- Tropical Medicine and Infectious Diseases
- Parasitology
- Cardiovascular and Gastrointestinal Pathology
Background:
- Chronic Chagas disease causes severe cardiovascular and gastrointestinal complications.
- Accurate diagnosis and effective treatment for Trypanosoma cruzi infection remain challenging globally.
- Understanding host-parasite interactions is crucial for managing Chagas disease.
Purpose of the Study:
- To provide an updated review of Trypanosoma cruzi, the causative agent of Chagas disease.
- To summarize the epidemiology, clinical manifestations, and diagnostic approaches for chronic Chagas disease.
- To discuss current and potential treatment strategies for Chagas disease complications.
Main Methods:
- Comprehensive literature review of peer-reviewed articles on Chagas disease.
- Analysis of studies covering parasite biology, host-parasite interactions, and clinical aspects.
- Synthesis of information on diagnostic tools and therapeutic interventions.
Main Results:
- Detailed overview of Trypanosoma cruzi life cycle, genetic diversity, and virulence factors.
- Description of the epidemiology and clinical spectrum of chronic Chagas disease.
- Assessment of current diagnostic limitations and treatment options for chronic manifestations.
Conclusions:
- Chagas disease poses significant health burdens due to its chronic, disabling effects.
- Integrated approaches combining improved diagnostics and novel therapeutics are needed.
- Further research into parasite biology and host response is essential for effective disease control.
Abstract:
Chronic manifestations of Chagas disease present as disabling and life-threatening conditions affecting mainly the cardiovascular and gastrointestinal systems. Although meaningful research has outlined the different molecular mechanisms underlying Trypanosoma cruzi's infection and the host-parasite interactions that follow, prompt diagnosis and treatment remain a challenge, particularly in developing countries and also in those where the disease is considered non-endemic. This review intends to present an up-to-date review of the parasite's life cycle, genetic diversity, virulence factors, and infective mechanisms, as well as the epidemiology, clinical presentation, diagnosis, and treatment options of the main chronic complications of Chagas disease.
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