Chagas Disease: Epidemiology, Diagnosis, and Treatment.

IF 3.1 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Cardiology Reports Pub Date : 2024-08-08 DOI:10.1007/s11886-024-02113-7
Michael C Swett, Danny L Rayes, Silvia Vidal Campos, Rebecca N Kumar
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Abstract

Purpose of review: This review seeks to describe the updates in the literature - particularly with regards to the epidemiology and diagnosis of Chagas disease. Additionally, this paper describes updates to the antiparasitic treatment for Chagas disease.

Recent findings: With regards to changing epidemiology, autochthonous cases are being found within the USA in addition to Latin America. Additionally, there appears to be more intermixing of discrete typing units-meaning, they are not confined to specific geographic regions. Screening for Chagas disease is recommended in persons who lived in areas with endemic Chagas, persons wtih family member diagnosed with Chagas Disease, persons who have lived in homes of natural material in Latin America, and persons with history of kissing bug bites. Treatment for the parasitic infection remains limited to benznidazole and nifurtimox, and the role of these treatments in Chagas cardiomyopathy has not yet been definitively defined. Finally, indications for and management of heart transplant in the setting of Chagas disease are discussed.

Future research: Use of antiparasitics during chronic chagas disease should be further explored. Additionally, future research identifying other markers of infection would be valuable to defining cure from infection.

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南美锥虫病:流行病学、诊断和治疗。
综述的目的:本综述旨在介绍文献的最新进展,尤其是恰加斯病的流行病学和诊断方面的最新进展。此外,本文还介绍了南美锥虫病抗寄生虫治疗的最新进展:关于流行病学的变化,除拉丁美洲外,美国也发现了本地病例。此外,离散分型单位的混杂程度似乎也在增加,这意味着它们并不局限于特定的地理区域。建议在恰加斯病流行地区生活过的人、其家庭成员被诊断出患有恰加斯病的人、曾在拉丁美洲天然材料家中生活过的人以及有吻虫叮咬史的人进行恰加斯病筛查。对寄生虫感染的治疗仍局限于苯并咪唑和硝呋太尔制霉素,这些疗法在恰加斯心肌病中的作用尚未明确界定。最后,讨论了恰加斯病背景下心脏移植的适应症和管理:未来研究:应进一步探讨慢性恰加斯病期间抗寄生虫药物的使用。此外,未来确定其他感染标志物的研究对于确定感染治愈也很有价值。
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来源期刊
Current Cardiology Reports
Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
6.20
自引率
2.70%
发文量
209
期刊介绍: The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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