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弗吉尼亚州西部的一例恰加斯心肌病病例:相隔甚远?

A Case of Chagas Cardiomyopathy in Western Virginia: Worlds Away?

作者信息

Vattikonda Kiriti, Peterson Christopher J, Mulkey Benjamin, Allen Bradley

机构信息

Internal Medicine, Virginia Tech Carilion School of Medicine, Roanoke, USA.

Cardiology, Virginia Tech Carilion School of Medicine, Roanoke, USA.

出版信息

Cureus. 2023 Jul 19;15(7):e42158. doi: 10.7759/cureus.42158. eCollection 2023 Jul.

DOI:10.7759/cureus.42158
PMID:37602121
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10438999/
Abstract

Chagas cardiomyopathy, caused by the parasite Trypanosoma cruzi, is a significant cause of cardiac pathology worldwide. Though most frequently observed in Latin America, Chagas disease is present in the United States and should be considered in patients with heart block or other cardiac abnormalities and previous travel to or residence in endemic areas. Here we describe a new diagnosis of Chagas cardiomyopathy in a patient residing in Virginia with a previous residence in Mexico.

摘要

恰加斯心肌病由克氏锥虫寄生虫引起,是全球心脏病理学的一个重要病因。尽管恰加斯病最常出现在拉丁美洲,但在美国也有发现,对于患有心脏传导阻滞或其他心脏异常且曾前往或居住在流行地区的患者应予以考虑。在此,我们描述了一名居住在弗吉尼亚州、曾在墨西哥居住过的患者被新诊断为恰加斯心肌病的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4af5/10438999/164266bf760d/cureus-0015-00000042158-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4af5/10438999/164266bf760d/cureus-0015-00000042158-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4af5/10438999/164266bf760d/cureus-0015-00000042158-i01.jpg

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A Case of Chagas Cardiomyopathy in Western Virginia: Worlds Away?弗吉尼亚州西部的一例恰加斯心肌病病例:相隔甚远?
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本文引用的文献

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Chagas heart disease: An overview of diagnosis, manifestations, treatment, and care.恰加斯心脏病:诊断、表现、治疗及护理概述
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Electrocardiographic abnormalities in Chagas disease in the general population: A systematic review and meta-analysis.人群中恰加斯病的心电图异常:系统评价和荟萃分析。
PLoS Negl Trop Dis. 2018 Jun 13;12(6):e0006567. doi: 10.1371/journal.pntd.0006567. eCollection 2018 Jun.
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N Engl J Med. 2015 Oct;373(14):1295-306. doi: 10.1056/NEJMoa1507574. Epub 2015 Sep 1.