Trypanosoma cruzi meningoencephalitis and myocarditis in a patient with acquired immunodeficiency syndrome Meningoencefalite e miocardite por Trypanosoma cruzi em paciente com síndrome da imunodeficiência adquirida

• Published in: Revista do Instituto de Medicina Tropical de São Paulo
• Main Authors: Ademir Rocha, Marcelo S. Ferreira, Sergio A. Nishioka, Marcos Silva, Marcius K. N. Burgarelli, Arnaldo M. Silva, Leandro P. Moura, Reinaldo Ugrinovich, César N. Raffin
• Format: Article in Journal/Newspaper
• Language: English
• Published: Universidade de São Paulo (USP) 1993
• Subjects: Acquired immunodeficiency syndrome; Human immunodeficiency virus; Meningoencephalitis; Myocarditis; Trypanosomiasis; American; Arctic medicine. Tropical medicine; RC955-962; Infectious and parasitic diseases; RC109-216; Arctic
• Online Access: https://doi.org/10.1590/S0036-46651993000200014; https://doaj.org/article/ee4077cdfe224746a20bd78d956d5e7f

We report the case of a 52-year-old male heterosexual patient with acquired immunodeficiency syndrome (AIDS) and reactivation of Chagas' disease manifested by meningoencephalitis and myocarditis, diagnosed post-mortem. Unexplained reactivation of Chagas' disease should be included among the diagnostic criteria of AIDS in human immunodeficiency virus positive patients. On the other hand, AIDS should be considered in the differential diagnosis of patients with unexplained reactivation of Chagas' disease. Relata-se o caso de um paciente de 52 anos, heterossexual, com síndrome da imunodeficiência adquirida e reativação de doença de Chagas, manifestada por meningoencefalite e miocardite diagnosticadas post mortem. Reativação inexplicada de doença de Chagas deveria estar entre os critérios para diagnóstico de AIDS em portadores do vírus da imunodeficiência adquirida. Por outro lado, o diagnóstico de AIDS deveria ser considerado em pacientes com reativação inexplicada de doença de Chagas.