2023
DOI: 10.3201/eid2909.230886
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Acute Chagas Disease Outbreak among Military Personnel, Colombia, 2021

Hernán Darío Vergara,
Carlos H. Gómez,
Álvaro A. Faccini-Martínez
et al.

Abstract: We report an acute Chagas disease outbreak among soldiers in Colombia. Trypanosoma cruzi infection was confirmed through parasitology, serology, and molecular methods. Among 9 affected soldiers, 2 died; 7 were hospitalized and received benznidazole treatment, which produced favorable outcomes. Personnel patrolling rural areas in Colombia could be at increased risk for Chagas disease.

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Cited by 2 publications
(7 citation statements)
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“…Since the first reported evidence of oral transmission in 1965, outbreaks of oral Chagas disease have gained importance as an emerging route of transmission. In some regions, it is considered to be the transmission mode in up to 50% of cases in certain geographical locations like in the Amazon basin [ 40 ]. Due to the severity of the disease, many who become infected via oral ingestion will manifest significant signs and symptoms of acute CD, which can lead to fulminant myocarditis and heart failure, meningoencephalitis, and even life-threatening shock from parasitemia [ 11 , 12 , 13 , 14 , 17 , 18 , 40 , 41 ].…”
Section: Clinical Manifestations Of Oral Chagas Diseasementioning
confidence: 99%
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“…Since the first reported evidence of oral transmission in 1965, outbreaks of oral Chagas disease have gained importance as an emerging route of transmission. In some regions, it is considered to be the transmission mode in up to 50% of cases in certain geographical locations like in the Amazon basin [ 40 ]. Due to the severity of the disease, many who become infected via oral ingestion will manifest significant signs and symptoms of acute CD, which can lead to fulminant myocarditis and heart failure, meningoencephalitis, and even life-threatening shock from parasitemia [ 11 , 12 , 13 , 14 , 17 , 18 , 40 , 41 ].…”
Section: Clinical Manifestations Of Oral Chagas Diseasementioning
confidence: 99%
“…Symptoms and rapid disease progression in those who are immunocompetent are not common among other forms of transmission like vectorial, congenital, or transfusion-related transmission [ 4 ]. The vast majority of those with acute oral Chagas have fever (71–100%), but other systemic symptoms are notable and include facial edema, lower extremity edema, myalgia, generalized lymphadenopathy, abdominal discomfort, dyspnea, vomiting, diarrhea, hepatomegaly, splenomegaly, headache, chest pain, cutaneous erythematous rash, jaundice, arthralgia, epistaxis, hematemesis, melena, and palpitations [ 11 , 12 , 13 , 14 , 17 , 18 , 40 , 41 ]. Facial edema, typically involving the entire face and portions of the lips, is present in 57–100% of those with acute oral CD [ 4 , 40 ].…”
Section: Clinical Manifestations Of Oral Chagas Diseasementioning
confidence: 99%
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