Abstract

ANEZ, Néstor; CRISANTE, Gladys; PARADA, Henry  and  SANCHEZ, Francisco. Apical cardiac aneurism in acute chagasic aged patient: A case report. Bol Mal Salud Amb [online]. 2016, vol.56, n.2, pp.185-191. ISSN 1690-4648.

A Clinical case from an aged patient with evidence of suffering heart failure showing arrhythmia, atrial fibrillation and pericarditis, pericardial effusion and left ventricle aneurism detected by electrocardiogram and echocardiogram respectively, is reported. Parasitological examination revealed presence of Trypanosoma cruzi in blood and pericardial fluid samples. In addition, hemoculture was positive and PCR assay revealed specific T. cruzi DNA. Serological techniques (DAT, IFAT) showed anti-T.cruzi circulating antibodies, including high level IgM. The sero-parasitological and molecular (PCR) findings confirmed the presumptive clinical diagnosis for Chagas disease acute infection. The significance of the present findings is discussed and clinical details observed during re-evaluation post-treatment, are included.

Keywords : Chagas disease; Trypanosoma cruzi; Cardiac aneurism; Aged patient.