Chagasic meningoencephalitis: case report of a recently included AIDS-defining illness in Brazil Meningoencefalite chagásica: relato de caso de doença recentemente incluida como indicativa de AIDS no Brasil
Recently, reactivation of Chagas disease (meningoencephalitis and/or myocarditis) was included in the list of AIDS-defining illnesses in Brazil. We report a case of a 52-year-old patient with no history of previous disease who presented acute meningoencephalitis. Direct examination of blood and cere...
Published in: | Revista do Instituto de Medicina Tropical de São Paulo |
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Universidade de São Paulo (USP)
2004
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Online Access: | https://doi.org/10.1590/S0036-46652004000400005 https://doaj.org/article/212d3425598e48c1a7900857d8d0ebb8 |
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ftdoajarticles:oai:doaj.org/article:212d3425598e48c1a7900857d8d0ebb8 2024-09-09T19:28:09+00:00 Chagasic meningoencephalitis: case report of a recently included AIDS-defining illness in Brazil Meningoencefalite chagásica: relato de caso de doença recentemente incluida como indicativa de AIDS no Brasil Geraldine Madalosso Alessandra C. Guedes Pellini Marileide J. Vasconcelos Ana Freitas Ribeiro Leonardo Weissmann Gilberto Silva Oliveira Filho Augusto C. Penalva de Oliveira Jose E. Vidal 2004-08-01T00:00:00Z https://doi.org/10.1590/S0036-46652004000400005 https://doaj.org/article/212d3425598e48c1a7900857d8d0ebb8 EN eng Universidade de São Paulo (USP) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652004000400005 https://doaj.org/toc/0036-4665 https://doaj.org/toc/1678-9946 doi:10.1590/S0036-46652004000400005 0036-4665 1678-9946 https://doaj.org/article/212d3425598e48c1a7900857d8d0ebb8 Revista do Instituto de Medicina Tropical de São Paulo, Vol 46, Iss 4, Pp 199-202 (2004) Chagas disease Meningoencephalitis Central nervous system Epidemiology Acquired immunodeficiency syndrome Brazil Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2004 ftdoajarticles https://doi.org/10.1590/S0036-46652004000400005 2024-08-05T17:49:30Z Recently, reactivation of Chagas disease (meningoencephalitis and/or myocarditis) was included in the list of AIDS-defining illnesses in Brazil. We report a case of a 52-year-old patient with no history of previous disease who presented acute meningoencephalitis. Direct examination of blood and cerebrospinal fluid (CSF) showed Trypanosoma cruzi. CSF culture confirmed the diagnosis. Serological assays for T. cruzi and human immunodeficiency virus (HIV) were positive. Despite treatment with benznidazol and supportive measures, the patient died 24 hours after hospital admission. In endemic areas, reactivation of Chagas disease should always be considered in the differential diagnosis of meningoencephalitis among HIV-infected patients, and its presence is indicative of AIDS. Recentemente, a reagudização da doença de Chagas (meningoencefalite e/ou miocardite) foi incluída na lista de doenças indicativas de aids no Brasil. Os autores relatam o caso de um paciente de 52 anos de idade, natural de área rural da Bahia e procedente de uma área urbana de São Paulo, sem história de doenças prévias e que apresentou meningoencefalite aguda. As sorologias e pesquisas parasitológicas diretas no sangue e no liquido cefalorraquideano (LCR) demonstraram presença de Trypanosoma cruzi, confirmando-se o diagnóstico mediante cultura do LCR. O teste rápido assim como os ELISA e Western Blot diagnosticaram infecção pelo vírus da imunodeficiência humana (HIV). Apesar do tratamento com benzonidazole e as medidas de suporte, o paciente faleceu 24 horas depois da admissão hospitalar. Em áreas endêmicas, a reagudização da doença de Chagas deve ser sempre considerada no diagnóstico diferencial das meningoencefalites e sua presença em pacientes com infecção pelo HIV é indicativa de aids. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Aguda ENVELOPE(-26.750,-26.750,-76.150,-76.150) Arctic Revista do Instituto de Medicina Tropical de São Paulo 46 4 199 202 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Chagas disease Meningoencephalitis Central nervous system Epidemiology Acquired immunodeficiency syndrome Brazil Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Chagas disease Meningoencephalitis Central nervous system Epidemiology Acquired immunodeficiency syndrome Brazil Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Geraldine Madalosso Alessandra C. Guedes Pellini Marileide J. Vasconcelos Ana Freitas Ribeiro Leonardo Weissmann Gilberto Silva Oliveira Filho Augusto C. Penalva de Oliveira Jose E. Vidal Chagasic meningoencephalitis: case report of a recently included AIDS-defining illness in Brazil Meningoencefalite chagásica: relato de caso de doença recentemente incluida como indicativa de AIDS no Brasil |
topic_facet |
Chagas disease Meningoencephalitis Central nervous system Epidemiology Acquired immunodeficiency syndrome Brazil Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Recently, reactivation of Chagas disease (meningoencephalitis and/or myocarditis) was included in the list of AIDS-defining illnesses in Brazil. We report a case of a 52-year-old patient with no history of previous disease who presented acute meningoencephalitis. Direct examination of blood and cerebrospinal fluid (CSF) showed Trypanosoma cruzi. CSF culture confirmed the diagnosis. Serological assays for T. cruzi and human immunodeficiency virus (HIV) were positive. Despite treatment with benznidazol and supportive measures, the patient died 24 hours after hospital admission. In endemic areas, reactivation of Chagas disease should always be considered in the differential diagnosis of meningoencephalitis among HIV-infected patients, and its presence is indicative of AIDS. Recentemente, a reagudização da doença de Chagas (meningoencefalite e/ou miocardite) foi incluída na lista de doenças indicativas de aids no Brasil. Os autores relatam o caso de um paciente de 52 anos de idade, natural de área rural da Bahia e procedente de uma área urbana de São Paulo, sem história de doenças prévias e que apresentou meningoencefalite aguda. As sorologias e pesquisas parasitológicas diretas no sangue e no liquido cefalorraquideano (LCR) demonstraram presença de Trypanosoma cruzi, confirmando-se o diagnóstico mediante cultura do LCR. O teste rápido assim como os ELISA e Western Blot diagnosticaram infecção pelo vírus da imunodeficiência humana (HIV). Apesar do tratamento com benzonidazole e as medidas de suporte, o paciente faleceu 24 horas depois da admissão hospitalar. Em áreas endêmicas, a reagudização da doença de Chagas deve ser sempre considerada no diagnóstico diferencial das meningoencefalites e sua presença em pacientes com infecção pelo HIV é indicativa de aids. |
format |
Article in Journal/Newspaper |
author |
Geraldine Madalosso Alessandra C. Guedes Pellini Marileide J. Vasconcelos Ana Freitas Ribeiro Leonardo Weissmann Gilberto Silva Oliveira Filho Augusto C. Penalva de Oliveira Jose E. Vidal |
author_facet |
Geraldine Madalosso Alessandra C. Guedes Pellini Marileide J. Vasconcelos Ana Freitas Ribeiro Leonardo Weissmann Gilberto Silva Oliveira Filho Augusto C. Penalva de Oliveira Jose E. Vidal |
author_sort |
Geraldine Madalosso |
title |
Chagasic meningoencephalitis: case report of a recently included AIDS-defining illness in Brazil Meningoencefalite chagásica: relato de caso de doença recentemente incluida como indicativa de AIDS no Brasil |
title_short |
Chagasic meningoencephalitis: case report of a recently included AIDS-defining illness in Brazil Meningoencefalite chagásica: relato de caso de doença recentemente incluida como indicativa de AIDS no Brasil |
title_full |
Chagasic meningoencephalitis: case report of a recently included AIDS-defining illness in Brazil Meningoencefalite chagásica: relato de caso de doença recentemente incluida como indicativa de AIDS no Brasil |
title_fullStr |
Chagasic meningoencephalitis: case report of a recently included AIDS-defining illness in Brazil Meningoencefalite chagásica: relato de caso de doença recentemente incluida como indicativa de AIDS no Brasil |
title_full_unstemmed |
Chagasic meningoencephalitis: case report of a recently included AIDS-defining illness in Brazil Meningoencefalite chagásica: relato de caso de doença recentemente incluida como indicativa de AIDS no Brasil |
title_sort |
chagasic meningoencephalitis: case report of a recently included aids-defining illness in brazil meningoencefalite chagásica: relato de caso de doença recentemente incluida como indicativa de aids no brasil |
publisher |
Universidade de São Paulo (USP) |
publishDate |
2004 |
url |
https://doi.org/10.1590/S0036-46652004000400005 https://doaj.org/article/212d3425598e48c1a7900857d8d0ebb8 |
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ENVELOPE(-26.750,-26.750,-76.150,-76.150) |
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Aguda Arctic |
geographic_facet |
Aguda Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista do Instituto de Medicina Tropical de São Paulo, Vol 46, Iss 4, Pp 199-202 (2004) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652004000400005 https://doaj.org/toc/0036-4665 https://doaj.org/toc/1678-9946 doi:10.1590/S0036-46652004000400005 0036-4665 1678-9946 https://doaj.org/article/212d3425598e48c1a7900857d8d0ebb8 |
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https://doi.org/10.1590/S0036-46652004000400005 |
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