Understanding Chagas Disease: Cause and Prevalence

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I. General Description Trypanosoma cruzi, a protozoan parasite, causes Chagas disease, a zoonotic disease that can be transmitted to humans by blood-sucking triatomine bugs (also known as the kissing bug because it bites on the face). Chagas disease is named after the Brazilian physician Carlos Chagas, who discovered the disease in 1909. Chagas disease is endemic throughout much of Mexico, Central America, and South America where an estimated 18 million people are infected. It has been introduced into the United States by population migration.

II. Causative …show more content…

The number of newly infected people has decreased and completely halted vector borne transmission in some areas due to public health efforts aimed at preventing transmission. Infection acquired from blood products, organ transplantation, or congenital transmission continues to pose a threat. “The Centers for Disease Control and Prevention estimates that more than 300,000 persons with Trypanosoma cruzi infection live in the United States.” Most people with Chagas disease in the United States acquired their infections in endemic countries. Although there are triatomine bugs in the U.S., only rare vector borne cases of Chagas Disease has been documented. Infection is most commonly acquired through contact with the feces of an infected triatomine bug (or "kissing bug"), a blood-sucking insect that feeds on humans and animals. Infection can also occur from: mother-to-baby, contaminated blood products, an organ transplanted from an infected donor, laboratory accident, or contaminated food or drink, which is …show more content…

The initial phase (acute) lasts for about 2 months after infection. During the acute phase, a high number of parasites circulate in the blood. In most cases, symptoms are absent or mild, but can include fever, headache, enlarged lymph glands, pallor, muscle pain, difficulty in breathing, swelling and abdominal or chest pain. In bug) takes a blood meal and releases trypomastigotes in its feces near the site of the bite wound. Trypomastigotes enter the host through the wound or through intact mucosal membranes, such as the conjunctiva. Common triatomine vector species for trypanosomiasis belong to the genera Triatoma, Rhodnius, and Panstrongylus. Inside the host, the trypomastigotes invade cells near the site of inoculation, where they differentiate into intracellular amastigotes. The amastigotes multiply by binary fission and differentiate into trypomastigotes, and then are released into the circulation as bloodstream trypomastigotes. Trypomastigotes infect cells from a variety of tissues and transform into intracellular amastigotes in new infection sites. Clinical manifestations can result from this infective cycle. The bloodstream trypomastigotes do not replicate. Replication resumes only when the parasites enter another cell or are ingested by another vector. The “kissing” bug becomes infected by feeding on human or animal blood that contains circulating parasite. The ingested trypomastigotes transform into epimastigotes in the

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