Antonio Adolfo Mattos de Castro, Elias F Porto, Roseli Pereira de Barros Souza, Lucimeire Lima Batista Oliveira, Claudia Kumpel and Sergio Mitio Tagami
Chagas disease (CD) was firstly discovered by the Brazilian physician Carlos Chagas in 1909. It is an endemic condition caused by a protozoan named Trypanosome cruzi and it is transmitted by the popularly known barber mosquito. The major CD transmission modes to man are blood transfusion or congenital pathways; minor CD transmission modes are organ transplantation, accidental and oral forms. Oral transmission is being considered the main pathway responsible for several outbreaks of CD in Brazil mainly in the Amazon region where 41 cases have been registered in the year of 2011 associated with the acaí intake. This epidemiologic cause occurs due to the instalment of the barber in lowland areas where the acaí is harvested; this, associated to poor fruit handling and hygiene, the final consumption is ought to be contaminated. The patient in this case study was chosen for the particular reason that this form of Chagas transmission is one of the least prevalent seen worldwide. Our study aimed to show the eight years length clinical course of a patient with Chagas disease
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