Orally-transmitted Chagas disease

Med Clin (Barc). 2017 Feb 9;148(3):125-131. doi: 10.1016/j.medcli.2016.10.038. Epub 2016 Dec 16.
[Article in English, Spanish]

Abstract

Chagas disease is a zoonosis caused by protozoan parasite Trypanosoma cruzi, which is most frequently associated with a vectorial transmission. However, in recent years we have observed a significant increase in the oral transmission of the disease, associated mainly with the consumption of drinks made from fruit or other vegetables contaminated with triatomine faeces or secretions from infected mammals. After a latency period of 3 to 22 days after ingestion, the oral infection is characterized by more severe manifestations than those associated with vectorial transmission: prolonged fever, acute myocarditis with heart failure and, in some cases, meningoencephalitis. Mortality can reach up to 33% of those infected. The aim of this paper is to review this matter and to promote prevention practices.

Keywords: Brotes; Chagas disease; Disease outbreaks; Enfermedad de Chagas; Epidemiology; Epidemiología; Oral transmission; Transmisión oral; Trypanosoma cruzi.

Publication types

  • Review

MeSH terms

  • Animals
  • Chagas Disease / diagnosis
  • Chagas Disease / epidemiology
  • Chagas Disease / prevention & control
  • Chagas Disease / transmission*
  • Disease Outbreaks
  • Disease Reservoirs / parasitology
  • Disease Vectors
  • Food Parasitology*
  • Fruit and Vegetable Juices / parasitology*
  • Humans
  • South America / epidemiology
  • Trypanosoma cruzi*