Emerging and under-recognized Chagas cardiomyopathy in non-endemic countries

Cortez, J; Providência, R; Ramos, E; Valente, C; Seixas, J; Meruje, M; Leitão-Marques, A; Vieira, A

http://hdl.handle.net/10400.4/1449

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Abstract(s)

Due to recent population emigration movements, an epidemic of Chagas disease is currently menacing most developed countries. The authors report the case of a 53-year-old Brazilian woman living in Europe for the last 10 years who developed heart failure symptoms, having a previous symptomatic sinus node disease with a pacemaker implant at age of 40 years. The diagnosis was based on serology and myocardial biopsy and the patient was treated with nifurtimox. The authors emphasize the need of a high level of suspicion in patients with suggestive epidemiology and the need of populational screening of specific high risk groups. New treatment options are also discussed.