New focus of active transmission of Chagas disease in indigenous populations in the Peruvian Amazon basin

Rev Soc Bras Med Trop. 2013 May-Jun;46(3):367-72. doi: 10.1590/0037-8682-1195-2013.

Abstract

Introduction: Several cases of acute Chagas disease (ACD) have been reported in the Peruvian Amazon basin.

Methods: The objective was to describe and investigate 6 ACD cases in children from indigenous Amazon communities in the province of Datem del Marañón in Loreto department (2006-2010).

Results: The mean age was 3.6 years. All patients had fever, 4/6 hepatomegaly, 2/6 splenomegaly, and 5/6 had trypomastigotes of Trypanosoma cruzi on thick smears. The fatality rate was 33.3%. Rhodnius pictipes and Rhodnius robustus adults were found inside the homes and in the peri-domiciles.

Conclusions: All cases reported were isolated cases. We report a new focus of ACD in indigenous populations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Animals
  • Chagas Disease / diagnosis
  • Chagas Disease / epidemiology
  • Chagas Disease / transmission*
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Indians, South American*
  • Infant
  • Infant, Newborn
  • Insect Vectors / parasitology
  • Male
  • Peru / epidemiology
  • Rhodnius / parasitology
  • Trypanosoma cruzi / isolation & purification*