在秘鲁亚马逊流域的土著人群中，恰加斯病的主动传播成为新的关注点。
New focus of active transmission of Chagas disease in indigenous populations in the Peruvian Amazon basin.
机构信息
Grupo Temático de Enfermedades Metaxénicas, Dirección General de Epidemiología, Ministerio de Salud, Lima, Perú.
出版信息
Rev Soc Bras Med Trop. 2013 May-Jun;46(3):367-72. doi: 10.1590/0037-8682-1195-2013.
INTRODUCTION
Several cases of acute Chagas disease (ACD) have been reported in the Peruvian Amazon basin.
METHODS
The objective was to describe and investigate 6 ACD cases in children from indigenous Amazon communities in the province of Datem del Marañón in Loreto department (2006-2010).
RESULTS
The mean age was 3.6 years. All patients had fever, 4/6 hepatomegaly, 2/6 splenomegaly, and 5/6 had trypomastigotes of Trypanosoma cruzi on thick smears. The fatality rate was 33.3%. Rhodnius pictipes and Rhodnius robustus adults were found inside the homes and in the peri-domiciles.
CONCLUSIONS
All cases reported were isolated cases. We report a new focus of ACD in indigenous populations.
引言
在秘鲁亚马逊河流域已经报告了几例急性恰加斯病（ACD）病例。
方法
本研究的目的是描述和调查洛雷托省达特姆德尔马拉尼翁省（2006-2010 年）的 6 例来自亚马逊土著社区的儿童 ACD 病例。
结果
平均年龄为 3.6 岁。所有患者均有发热，4/6 例有肝肿大，2/6 例有脾肿大，5/6 例在厚涂片上有克氏锥虫的锥虫体。死亡率为 33.3%。在家中和周边地区发现了 Rhodnius pictipes 和 Rhodnius robustus 成虫。
结论
报告的所有病例均为孤立病例。我们报告了在土著人群中急性恰加斯病的新焦点。
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