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A Case of Chagas Cardiomyopathy Following Infection in South Central Texas

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Journal Article - Embargoed Full-Text

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59th Medical Wing San Antonio United States

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Nearby 8 million people globally are infected with Trypanosoma cruzi, the causative parasitic agent of Chagas disease. The vast majority of incident infections originate in pockets of Latin America endemic to the parasite and its vector, the triatomine insect. Since 1955, when the first locally-acquired case was reported, there have been fewer than 30 autochthonous cases documented in the United States. We describe the case of an 18 year-old U.S. Air trainee, a native Texan with no travel history beyond the continental United States, who screened positive for T. cruzi infection on blood donation and was subsequently found to have chronic Chagasic cardiomyopathy. This is the first documented case of Chagas disease in a U.S. military trainee and one of the first known autochthonous cases of Chagasic cardiomyopathy in a Texas resident. Diagnostic, therapeutic, and military implications are discussed.

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  • Medicine and Medical Research

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