Document Detail


Cardiac involvement in African and American trypanosomiasis.
MedLine Citation:
PMID:  18922485     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
American trypanosomiasis (Chagas disease) and human African trypanosomiasis (HAT; sleeping sickness) are both caused by single-celled flagellates that are transmitted by arthropods. Cardiac problems are the main cause of morbidity in chronic Chagas disease, but neurological problems dominate in HAT. Physicians need to be aware of Chagas disease and HAT in patients living in or returning from endemic regions, even if they left those regions long ago. Chagas heart disease has to be taken into account in the differential diagnosis of cardiomyopathy, primarily in patients with pathological electrocardiographic (ECG) findings, such as right bundle branch block or left anterior hemiblock, with segmental wall motion abnormalities or aneurysms on echocardiography, and in young patients with stroke in the absence of arterial hypertension. In HAT patients, cardiac involvement as seen by ECG alterations, such as repolarisation changes and low voltage, is frequent. HAT cardiopathy in general is benign and does not cause relevant congestive heart failure and subsides with treatment. We review the differences between the American and African trypanosomiasis with the main focus on the heart.
Authors:
Johannes A Blum; Michael J Zellweger; Christian Burri; Christoph Hatz
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Lancet infectious diseases     Volume:  8     ISSN:  1473-3099     ISO Abbreviation:  Lancet Infect Dis     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-16     Completed Date:  2008-11-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101130150     Medline TA:  Lancet Infect Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  631-41     Citation Subset:  IM    
Affiliation:
Swiss Tropical Institute, Basel, Switzerland. johannes.blum@unibas.ch
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MeSH Terms
Descriptor/Qualifier:
Chagas Disease / complications*
Heart Diseases / etiology*,  parasitology
Humans
Trypanosomiasis, African / complications*

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