Trypanosoma cruzi

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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History
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Chagas, 1909

Definition
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Parasitic protozoon, causative agent of Chagas disease. Forms occurring in humans:
  • Trypomastigote: Non-divisible free blood form with typical C- or S-shaped shape, 17-20 μm long, 2 μm wide flagellate with undulating membrane and flagella.
  • Amastigote: Divisible, intracellular, 5-15 μm large oval shape without flagellum.

General definition
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Absorption of the parasites from the faeces of bloodsucking predatory bugs via wounds caused by the bite of the bugs or by scratching.

Occurrence/Epidemiology
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Endemic in South America. 16-18 million infected; third largest tropical health problem worldwide.

Clinical picture
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Diagnosis
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  • Laboratory diagnosis: During the acute phase, direct pathogen detection in the blood is possible for 1-2 weeks.
  • Serological detection: Specific detection of antibodies against T. cruzi: Immunofluorescence test, CFT and ELISA. For most antigens there are cross reactions against Leishmania donovani.

Prophylaxis
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So far neither prophylaxis nor vaccination is possible. Reduction of vectors; improvement of housing and living conditions.

Note(s)
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Web addresses: Robert Koch Instiut (http://www.rki.de).

Literature
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  1. Chagas C (1909) On a new human trypanosomiasis. Mem Inst Oswaldo Cruz 3: 1-218
  2. Chagas C (1909) On a new human trypanosomiasis. Archive for Marine and Tropical Hygiene 13: 351-353

Outgoing links (1)

Chagas disease;

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Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020