Abstract
In 1909, the Brazilian physician Carlos Chagas described a new pathogen―Trypanosoma cruzi―and an entirely new disease to the scientific community that was subsequently shown to cause serious cardiac and gastrointestinal problems. Far from being a rare nosological entity, Chagas disease was later found to affect millions of people across Latin America. The analysis of South American mummies in paleoparasitological studies indicated, however, that Chagas disease affected humans at least 9,000 years ago. Within a few years, Carlos Chagas and some of his close collaborators—including Gaspar Vianna, Belisário Penna, Eurico Villela, and Ezequiel Dias—described the main anatomopathological and clinical aspects of the disease in its acute and chronic phases. Despite the undeniable success and singularity of these preliminary investigations, Chagas disease was neglected by the medical and scientific community for long periods of the twentieth century. The diagnosis, clinical manifestations, and prognosis, as well as the significant gaps in the understanding of the pathogenesis of cardiovascular involvement, and in the management of the disease, will be discussed in this chapter.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
A Study of the Use of Oral Posaconazole (POS) in the Treatment of Asymptomatic Chronic Chagas Disease (P05267) (STOP CHAGAS). Merck Sharp & Dohme Corp. Clinicaltrials.gov: a service of the U.S. National Institutes of Health. Identifier: NCT01377480. Available from: http://clinicaltrials.gov/show/NCT01377480
Almeida-Filho OC, Maciel BC, Schmidt A, Pazin-Filho A, Marin-Neto JA (2002) Minor segmental dyssynergy reflects extensive myocardial damage and global left ventricle dysfunction in chronic Chagas disease. J Am Soc Echocardiogr 15:610–616
Amorim DS, Marin-Neto JA (1995) Functional alterations of the autonomic nervous system in Chagas’ heart disease. Sao Paulo Med J 113:772–784
Andrade SG, Stocker-Guerret S, Pimentel AS, Grimaud JA (1991) Reversibility of cardiac fibrosis in mice chronically infected with Trypanosoma cruzi, under specific chemotherapy. Mem Inst Oswaldo Cruz 86:187–200
Andrade AL, Zicker F, Oliveira RM, Silva AS, Luquetti AO, Travassos LR et al (1996) Randomised trial of efficacy of benznidazole in treatment of early Trypanosoma cruzi infection. Lancet 348:1407–1413
Andrade JP, Marin-Neto JA, Paola AA, Vilas-Boas F, Oliveira GM, Bacal F et al (2011) [I Latin American guidelines for the diagnosis and treatment of Chagas cardiomyopathy]. Sociedade Brasileira de Cardiologia. I Diretriz Latino Americana para o Diagnóstico e Tratamento da Cardiopatia Chagásica. Arq Bras Cardiol 97(2 Suppl 3):1–48
Bahia MT, de Andrade IM, Martins TA, do Nascimento ÁF, Diniz L de F, Caldas IS et al (2012) Fexinidazole: a potential new drug candidate for Chagas disease. PLoS Negl Trop Dis 6:e1870
Barreto ACP, Arteaga-Fernandez E (1986) RV endomyocardial biopsy in chronic Chagas’ disease. Am Heart J 111:307–312
Bern C, Montgomery SP, Herwaldt BL, Rassi A Jr, Marin Neto J, Dantas RO et al (2007) Evaluation and treatment of Chagas’ desease in United States: a systemic review. JAMA 298:2171–2181
Bern C, Verastegui M, Gilman RH, Lafuente C, Galdos-Cardenas G, Calderon M et al (2009) Congenital Trypanosoma cruzi transmission in Santa Cruz, Bolivia. Clin Infect Dis 49:1667–1674
Bonney KM, Engman DM (2008) Chagas heart disease pathogenesis: one mechanism or many? Curr Mol Med 8:510–518
Brener Z (1984) Recent advances in the chemotherapy of Chagas disease. Mem Inst Oswaldo Cruz 79((suppl)):149–155
Bustamante JM, Rivarola HW, Fernández AR, Enders JE, Fretes R, Palma JA et al (2002) Trypanosoma cruzi reinfections in mice determine the severity of cardiac damage. Int J Parasitol 32:889–896
Cançado JR (2002) Long term evaluation of etiological treatment of Chagas disease with benznidazole. Rev Inst Med Trop Sao Paulo 44:29–37
Carod-Artal FJ, Vargas AP, Horan TA, Nunes LG (2005) Chagasic cardiomyopathy is independently associated with ischemic stroke in Chagas disease. Stroke 36:965–970
Chagas C (1916) Processos patojenicos da tripanozomiase americana. Mem Inst Oswaldo Cruz 8:5–36
Chagas C, Vilella E (1922) Cardiac form of American trypanosomiasis. Mem Inst Oswaldo Cruz 14:5–61
Chin-Hong PV, Schwartz BS, Bern C, Montgomery SP, Kontak S, Kubak B et al (2011) Screening and treatment of Chagas disease in organ transplant recipients in the United States: recommendations from the Chagas in Transplant Working Group. Am J Transplant 11:672–680
Dantas RO, Deghaide NH, Donadi EA (1999) Esophageal manometric and radiologic findings in asymptomatic subjects with Chagas’ disease. J Clin Gastroenterol 28:245–248
d’Avila A, Splinter R, Svenson RH, Scanavacca M, Pruitt E, Kasell J et al (2002) New perspectives on catheter-based ablation of ventricular tachycardia complicating Chagas’ disease: experimental evidence of the efficacy of near infrared lasers for catheter ablation of Chagas’ VT. J Interv Card Electrophysiol 7:23–38
de Rezende JM (1982) Classificação radiológica do megaesôfago. Rev Goiana Med 28:187–191
Dias JCP (1989) The indeterminate form of human chronic Chagas’ disease: a clinical epidemiological review. Rev Soc Bras Med Trop 22:147–156
Dias JC, Dias E, Martins-Filho OA, Vitelli-Avelar D, Correia D, Lages E et al (2008) Further evidence of spontaneous cure in human Chagas disease. Rev Soc Bras Med Trop 41:505–506
Diniz L de F, Urbina JA, de Andrade IM, Mazzeti AL, Martins TA, Caldas IS (2013) Benznidazole and posaconazole in experimental Chagas disease: positive interaction in concomitant and sequential treatments. PLoS Negl Trop Dis 7:e2367
dos Santos AH, da Silva IG, Rassi A (1995) A comparative study between natural and artificial xenodiagnosis in chronic Chagas’ disease patients. Rev Soc Bras Med Trop 28:367–373 [Article in Portuguese]
Fabbro DL, Streiger ML, Arias ED, Bizai ML, del Barco M, Amicone NA (2007) Trypanocide treatment among adults with chronic Chagas disease living in Santa Fe city (Argentina), over a mean follow-up of 21 years: parasitological, serological and clinical evolution. Rev Soc Bras Med Trop 40:1–10
First Annual Meeting of Applied Research in Chagas’ Disease (1985) Rev Soc Bras Med Trop 18:46 (Araxá, MG)
Forichon E (1975) Contribution aux estimations de morbidité et de mortalité dans la maladie de Chagas. Rev Pat Trop 4:57–78
Fragata Filho AA, Silva MAD, Boainain E (1994) Tratamento etiológico da doença de Chagas na fase aguda e crônica. Rev Soc Cardiol Estado de São Paulo 4:192–197
Fragata Filho AA, Correia EB, Borges FR (2005) Tratamento parasiticida na forma indeterminada da doença de Chagas previne o aparecimento de cardiopatia. Rev Soc Cardiol Estado de São Paulo 15(5 supl B):44
Francolino SS, Antunes AF, Talice R, Rosa R, Selanikio J, de Rezende JM et al (2003) New evidence of spontaneous cure in human Chagas’ disease. Rev Soc Bras Med Trop 36:103–107
Freitas HF, Chizzola PR, Paes AT, Lima AC, Mansur AJ (2005) Risk stratification in a Brazilian hospital-based cohort of 1220 outpatients with heart failure: role of Chagas heart disease. Int J Cardiol 102:239–247
Garcia S, Ramos CO, Senra JF, Vilas-Boas F, Rodrigues MM, Campos-de-Carvalho AC et al (2005) Treatment with benznidazole during the chronic phase of experimental Chagas’ disease decreases cardiac alterations. Antimicrob Agents Chemother 49:1521–1528
Gascón J, Albajar P, Cañas E, Flores M, Prat JG, Herrera RN et al (2007) Working group of the second workshop on “Imported Chagas’ Disease, a New Challenge in Public Health”. Consensus document of the Spanish society of tropical medicine and international health (SEMTSI). Rev Esp Cardiol 60:285–293
González J, Azzato F, Ambrosio G, Milei J (2012) Sudden death in indeterminate Chagas disease is uncommon. A systematic review. Rev Argent Cardiol 80:240–246
Howard EJ, Xiong X, Carlier Y, Sosa-Estani S, Buekens P (2014) Frequency of the congenital transmission of Trypanosoma cruzi: a systematic review and meta-analysis. BJOG 121:22–33
Jones EM, Colley DG, Tostes S, Lopes ER, Vnencak-Jones CL, McCurley TL (1993) Amplification of a Trypanosoma cruzi DNA sequence from inflammatory lesions in human chagasic cardiomyopathy. Am J Trop Med Hyg 48:348–357
Kierszenbaum F (1986) Autoimmunity in Chagas’ disease. J Parasitol 72:201–211
Kierszenbaum F (2007) Mechanisms of pathogenesis in Chagas disease. Acta Parasitol 52:1–12
Köberle F (1959) Cardiopathia parasympathicopriva. Munch Med Wochenschr 101:1308–1310
Köberle F (1968) Chagas’ disease and Chagas’ syndromes: the pathology of American trypanosomiasis. Adv Parasitol 6:63–116
Korman DS, Jatene AD (1977) Triângulo eletrodo-vértebro-diafragmático no posicionamento de eletrodo endocavitário para marca-passos cardíacos. Arq Bras Cardiol 30(Supl.2):380
Laranja FS, Dias E, Miranda A, Nobrega G (1956) Chagas’ disease; a clinical, epidemiologic, and pathologic study. Circulation 14:1035–1060
Lopes ER, Chapadeiro E, Andrade ZA, Almeida HO, Rocha A (1981) Pathological anatomy of hearts from asymptomatic Chagas disease patients dying in a violent manner. Mem Inst Oswaldo Cruz 76:189–197 [Article in Portuguese]
Maguire JH, Hoff R, Sherlock I, Guimaraes AC, Sleigh AC, Ramos NB et al (1987) Cardiac morbidity and mortality due to Chagas’ disease: prospective electrocardiographic study of a Brazilian community. Circulation 75:1140–1145
Manzullo EC, Chuit R (1999) Risk of death due to chronic Chagasic cardiopathy. Mem Inst Oswaldo Cruz 94(Suppl 1):317–320
Marin-Neto JA, Gallo L Jr, Manco JC, Rassi A, Amorim DS (1980) Mechanisms of tachycardia on standing: studies in normal individuals and in chronic Chagas’ heart patients. Cardiovasc Res 14:541–550
Marin-Neto JA, Marzullo P, Marcassa C, Gallo Júnior L, Maciel BC, Bellina CR et al (1992) Myocardial perfusion defects in chronic Chagas’ disease as detected by thallium-201 scintigraphy. Am J Cardiol 69:780–784
Marin-Neto JA, Bromberg-Marin G, Pazin-Filho A, Simões MV, Maciel BC (1998) Cardiac autonomic impairment and early myocardial damage involving the right ventricle are independent phenomena in Chagas’ disease. Int J Cardiol 65:261–269
Marin-Neto JA, Cunha-Neto E, Maciel BC, Simões MV (2007) Pathogenesis of chronic Chagas heart disease. Circulation 115:1109–1123
Marin-Neto JA, Rassi A Jr, Morillo CA, Avezum A, Connolly SJ, Sosa-Estani S et al (2008) Rationale and design of a randomized placebo controlled trial assessing the effects of etiologic treatment in Chagas cardiomyopathy: the BENznidazole Evaluation For Interrupting Trypanosomiasis (BENEFIT). Am Heart J 156:37–43
Marin-Neto JA, Rassi A Jr, Avezum A Jr, Mattos AC, Rassi A, Morillo CA et al (2009) BENEFIT Investigators. The BENEFIT trial: testing the hypothesis that trypanocidal therapy is beneficial for patients with chronic Chagas heart disease. Mem Inst Oswaldo Cruz 104(Suppl 1):319–324
Marin-Neto JA, Rassi A Jr, Maciel BC, Simoes MV, Schmidt A (2010) Chagas heart disease. In: Yusuf S, Cairns JA, Camm AJ, Fallen EL, Gersh BJ (eds) Evidence-based cardiology, 3rd edn. BMJ Books, London, pp 823–841
Matturri L (1996) Pathologic substrates for arrhythmogenesis in chronic chagasic cardiopathy. Cardiovasc Pathol 5:221–225
Meneghelli UG (1985) Chagas’ disease: a model of denervation in the study of digestive tract motility. Braz J Med Biol Res 18:255–264
Ministério da Saúde do Brasil (2005) Brazilian consensus on Chagas disease. Rev Soc Bras Med Trop 38(suppl 3):7–29 [in Portuguese]
Molina I, Gómez i Prat J, Salvador F, Treviño B, Sulleiro E, Serre N et al (2014) Randomized trial of posaconazole and benznidazole for chronic Chagas’ disease. N Engl J Med 370:1899–1908
Navarro M, Norman FF, Pérez-Molina JA, López-Vélez R (2012) Benznidazole shortage makes Chagas disease a neglected tropical disease in developed countries: data from Spain. Am J Trop Med Hyg 87:489–490
Oliveira JSM, Araujo RRC, Navarro MA, Muccillo G (1983) Cardiac thrombosis and thromboembolism in chronic Chagas’ heart disease. Am J Cardiol 52:147–151
Pereira KS, Schmidt FL, Guaraldo AM, Franco RM, Dias VL, Passos LA (2009) Chagas disease as a foodborne illness. J Food Prot 72:441–446
Pérez-Molina JA, Pérez-Ayala A, Moreno S, Fernández-González MC, Zamora J, López-Velez R (2009) Use of benznidazole to treat chronic Chagas’ disease: a systematic review with a meta-analysis. J Antimicrob Chemother 64:1139–1147
Pinto AYN, Valente SA, Valente VC, Ferreira-Junior AG, Coura JR (2008) Acute phase of Chagas disease in the Brazilian Amazon region: study of 233 cases from Pará, Amapá and Maranhão observed between 1988 and 2005. Rev Soc Bras Med Trop 41:602–614
Proof-of-Concept Study of E1224 to treat adult patients with chagas disease (2014) Drugs for neglected diseases initiative. Clinicaltrials.gov: a service of the U.S. National Institutes of Health. Identifier: NCT01489228. Available from: http://clinicaltrials.gov/show/NCT01489228
Rassi A Jr (2007) Implantable cardioverter-defibrillators in patients with Chagas heart disease: misperceptions, many questions and the urgent need for a randomized clinical trial. J Cardiovasc Electrophysiol 18:1241–1243
Rassi Júnior A, Gabriel Rassi A, Gabriel Rassi S, Rassi Júnior L, Rassi A (1995) Ventricular arrhythmia in Chagas disease. Diagnostic, prognostic, and therapeutic features. Arq Bras Cardiol 65:377–387, Article in Portuguese
Rassi A, Luquetti AO (2003) Specific treatment for Trypanosoma cruzi infection (Chagas disease). In: Tyler KM, Miles MA (eds) American trypanosomiasis. Kluwer Academic, Boston, MA, pp 117–125
Rassi A, Perini GE (1979) Valor da eletrocardiografia dinâmica (sistema Holter) no estudo da CCC. ARS CVRANDI Cardiologia 2:31–54
Rassi A, Rassi Junior A (2013) Doença de Chagas aguda. In: Sociedade Brasileira de ClínicaMédica; Lopes AC, Guimarães HP, Lopes RD, Vendrame LS (org) PROURGEMPrograma de Atualização em Medicina de Urgência e Emergência: Ciclo 7. Porto Alegre:Artmed/Panamericana, pp 41–85 (Sistema de Educação Médica Continuada a Distânciav. 2)
Rassi A, Lorga AM, Rassi SG (1985) Diagnóstico e tratamento das arritmias na cardiopatia crônica. In: Cançado JR, Chuster M (eds) Cardiopatia Chagásica. Imprensa Oficial do Estado de Minas Gerais, Belo Horizonte, pp 274–288
Rassi A, Lorga AM, Rassi S (1990) Abordagem diagnóstica e terapêutica das arritmias na cardiopatia chagásica crônica. In: Germiniani H (ed) Diagnóstico e Terapêutica das Arritmias Cardíacas, 3ª edição. Guanabara Koogan, Rio de Janeiro, pp 225–244
Rassi A, Luquetti AO, Rassi A Jr, Rassi SG, Rassi AG (1992) Chagas’disease: clinical features. In: Wendel S, Brener Z, Camargo ME, Rassi A (eds) Chagas’disease (American Trypanosomiasis): its impact on transfusion and clinical medicine. Editora ISBT, São Paulo, pp 81–101
Rassi A, Amato Neto V, de Siqueira AF, Doles J, Leite MS, Silva OQ et al (1997) The influence of corticoids, in chronic Chagas disease, administered in virtue of associated disorders. Rev Soc Bras Med Trop 30:93–99
Rassi A, Rassi A Jr, Rassi GG (2000a) Fase aguda da doença de Chagas. In: Brener Z, Andrade ZA, Barral-Netto M (eds)Trypanosoma cruzi e doença de Chagas, 2nd edn. Guanabara Koogan, Rio de Janeiro, pp 231–45 [in Portuguese]
Rassi A Jr, Rassi A, Little WC (2000b) Chagas’ heart disease. Clin Cardiol 23:883–889
Rassi A Jr, Rassi SG, Rassi AG, Rassi A (2001) Sudden death in Chagas disease. Arq Bras Cardiol 76:75–96
Rassi A Jr, Rassi A, Little WC, Xavier SS, Rassi SG, Rassi AG et al (2006) Development and validation of a risk score for predicting death in Chagas heart disease. N Engl J Med 355:799–808
Rassi A Jr, Rassi A, Rassi SG (2007a) Predictors of mortality in chronic Chagas disease: a systematic review of observational studies. Circulation 115:1101–1108
Rassi A, Luquetti AO, Rassi A Jr, Rassi GG, Rassi SG, Da Silva IG et al (2007b) Specific treatment for Trypanosoma cruzi: lack of efficacy of allopurinol in the human chronic phase of Chagas disease. Am J Trop Med Hyg 76:58–61
Rassi A Jr, Rassi A, Marin-Neto JA (2009) Chagas heart disease: pathophysiologic mechanisms, prognostic factors and risk stratification. Mem Inst Oswaldo Cruz 104(suppl 1):152–158
Rassi A Jr, Rassi A, Marin-Neto JA (2010a) Chagas disease. Lancet 375:1388–1402
Rassi A, Rezende JM, Luquetti AO, Rassi A Jr (2010b) Clinical phases and forms of Chagas disease. In: Telleria J, Tibayrenc M (eds) American trypanosomiasis (Chagas disease). One hundred years of research, 1st edn. Elsevier, Burlington, pp 709–741
Ribeiro Dos Santos R, Rassi S, Feitosa G, Grecco OT, Rassi A Jr, da Cunha AB et al (2012) Chagas Arm of the MiHeart Study Investigators. Cell therapy in Chagas cardiomyopathy (Chagas arm of the multicenter randomized trial of cell therapy in cardiopathies study): a multicenter randomized trial. Circulation 125:2454–2461
Ribeiro AL, Moraes RS, Ribeiro JP, Ferlin EL, Torres RM, Oliveira E et al (2001) Parasympathetic dysautonomia precedes left ventricular systolic dysfunction in Chagas disease. Am Heart J 141:260–265
Rocha MO, Ribeiro AL (2006) A risk score for predicting death in Chagas’ heart disease. N Engl J Med 355:2488–2489 (letter)
Rodriques Coura J, de Castro SL (2002) A critical review on Chagas disease chemotherapy. Mem Inst Oswaldo Cruz 97:3–24
Rossi MA (1990) Microvascular changes as a cause of chronic cardiomyopathy in Chagas’ disease. Am Heart J 120:233–236
Rossi MA (1991) The pattern of myocardial fibrosis in chronic Chagas’ heart disease. Int J Cardiol 30:335–340
Sabino EC, Ribeiro AL, Salemi VM, Di Lorenzo OC, Antunes AP, Menezes MM et al (2013) National heart, lung, and blood institute retrovirus epidemiology donor study-II (REDS-II), International component ten-year incidence of Chagas cardiomyopathy among asymptomatic Trypanosoma cruzi-seropositive former blood donors. Circulation 127:1105–1115
Sartori AM, Ibrahim KY, Nunes Westphalen EV, Braz LM, Oliveira OC Jr, Gakiya E et al (2007) Manifestations of Chagas disease (American trypanosomiasis) in patients with HIV/AIDS. Ann Trop Med Parasitol 101:31–50
Schijman AG, Vigliano C, Burgos J, Favaloro R, Perrone S, Laguens R et al (2000) Early diagnosis of recurrence of Trypanosoma cruzi infection by PCR after heart transplantation of a chronic Chagas’ heart disease patient. J Heart Lung Transplant 19:1114–1117
Schmunis GA (2007) Epidemiology of Chagas disease in non-endemic countries: the role of international migration. Mem Inst Oswaldo Cruz 102(Suppl 1):75–85
Shikanai-Yasuda MA, Carvalho NB (2012) Oral transmission of Chagas disease. Clin Infect Dis 54:845–852
Simões MV, Pintya AO, Bromberg-Marin G, Sarabanda AV, Antloga CM, Pazin-Filho A et al (2000) Relation of regional sympathetic denervation and myocardial perfusion disturbance to wall motion impairment in Chagas’ cardiomyopathy. Am J Cardiol 86:975–981
Sosa E, Scanavacca M, d’Avila A, Piccioni J, Sanchez O, Velarde JL et al (1998) Endocardial and epicardial ablation guided by nonsurgical transthoracic epicardial mapping to treat recurrent ventricular tachycardia. J Cardiovasc Electrophysiol 9:229–239
Sosa-Estani S, Segura EL, Ruiz AM, Velasquez E, Porcel BM, Yampotis C (1998) Efficacy of chemoterapy with benznidazole in children in the indeterminate phase of Chagas’ disease. Am J Trop Med Hyg 59:526–529
Storino R, Milei J, Manzullo E, Darraidou M (1994) Evolución natural y estudios longitudinales. In: Storino R, Milei J (eds) Enfermedad de Chagas. Doyma Argentina Editorial, Buenos Aires, pp 593–604
Storino R, Auger S, Caravello O, Urrutia MI, Sanmartino M, Jörg M (2002) Chagasic cardiopathy in endemic area versus sporadically infected patients. Rev Saude Publica 36:755–758
Tarleton RL (2003a) Trypanosoma cruzi and Chagas disease: cause and effect. In: Tyler KM, Miles MA (eds) World class parasites: American trypanosomiasis, vol 7. Kluwer Academic Publisher, Dordrecht, pp 107–116
Tarleton RL (2003b) Chagas disease: a role for autoimmunity? Trends Parasitol 19:447–451
Tarleton RL, Zhang L (1999) Chagas disease etiology: autoimmunity or parasite persistence? Parasitol Today 15:94–99
Tarleton RL, Reithinger R, Urbina JA, Kitron U, Gürtler RE (2007) The challenges of Chagas disease - grim outlook or glimmer of hope? PLoS Med 4:e332
Torres FW, Acquatella H, Condado JA, Dinsmore R, Palacios IF (1995) Coronary vascular reactivity is abnormal in patients with Chagas’ heart disease. Am Heart J 129:995–1001
Urbina JA, Payares G, Sanoja C, Lira R, Romanha AJ (2003) In vitro and in vivo activities of ravuconazole on Trypanosoma cruzi, the causative agent of Chagas disease. Int J Antimicrob Agents 21:27–38
Villar JC, Villar LA, Marin-Neto JA, Ebrahim S, Yusuf S (2002a) Efficacy of trypanocidal therapy for chronic asymptomatic Trypanosoma cruzi infection: a meta-analysis. JACC 39(9-Suppl.B):417B
Villar JC, Marin-Neto JA, Ebrahim S, Yusuf S (2002b) Trypanodical drugs for chronic asymptomatic Trypanosoma cruzim infection. Cochrane Database Syst Rev 1, CD003463
Viotti RJ, Vigliano C, Lococo B, Bertocchi G, Petti M, Alvarez MG et al (2006) Long-term cardiac outcomes of treating chronic Chagas disease with benznidazole versus no treatment: a nonrandomized trial. Ann Intern Med 144:724–734
Viotti R, Vigliano C, Lococo B, Alvarez MA, Petti M, Bertocchi G et al (2009) Side effects of benznidazole as treatment in chronic Chagas disease: fears and realities. Expert Rev Anti Infect Ther 7:157–163
Wallace JA, Miller L, Beavis A, Baptista CA (2013) Chagas disease: a proposal for testing policy for solid-organ transplant in the United States. Prog Transplant 23:272–277
Wendel S (2010) Transfusion transmitted Chagas disease: is it really under control? Acta Trop 115:28–34
Wendel S, Dias JCP (1992) Transfusion transmitted Chagas disease. In: Wendel S, Brener Z, Camargo ME et al (eds) Chagas disease (American trypanosomiasis): its impact on transfusion and clinical medicine. São Paulo, pp 103–34
WHO Control of Chagas disease (2002) Technical report series n° 905, Geneva 109p
World Health Organization (2002) Control of Chagas disease. Second report of the WHO expert committee. WHO technical report series 905, Geneva
Zeledón R, Dias JC, Brilla-Salazar A, de Rezende JM, Vargas LG, Urbina A (1988) Does a spontaneous cure for Chagas’ disease exist? Rev Soc Bras Med Trop 21:15–20
Acknowledgments
The authors thank Katrina Phillips for her comments, careful review, and editing of the text.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Wien
About this chapter
Cite this chapter
Rassi, A., Rassi, A., Marin-Neto, J.A. (2015). Chagas Disease. In: Franco-Paredes, C., Santos-Preciado, J. (eds) Neglected Tropical Diseases - Latin America and the Caribbean. Neglected Tropical Diseases. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1422-3_3
Download citation
DOI: https://doi.org/10.1007/978-3-7091-1422-3_3
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-1421-6
Online ISBN: 978-3-7091-1422-3
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)