Chagas Disease - Acute, Chronic and Reactivation
Acute Chagas
- 95% asymptomatic
- Chagoma (Romana's sign), nonspecific fever (can mimic mononucleosis, acute HIV, etc)
- Severe forms: meningoencephalitis, myocarditis (CHF > arrhythmia)
Chronic Chagas
- Indeterminate - No signs or symptoms
- Determinate
- Cardiomyopathy (arrhythmia > CHF)
- GI (megaesophagus, megacolon) — limited to the Southern Cone
Reactivation Chagas
- Transplant patients, HIV, chemo, etc
- CNS (meningoencephalitis, brain abscess)
- Acute myocarditis
- Can have a rash (red plaques, papules, nodules, ulcers)
WuidQ: Washington University ID Questions @WuidQ
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