| Autor: |
Benítez JZ; Programa Departamental Enfermedades Transmitidas por Vectores y Zoonosis, Secretaría de Salud del Guaviare, Guaviare, Colombia., Cedeño Díaz D; Laboratorio Departamental de Salud Pública, Secretaría de Salud del Guaviare, Guaviare, Colombia., Colorado LA; Área de Vigilancia en Salud Pública, Secretaría de Salud del Guaviare, Guaviare, Colombia., Mosquera Murillo L; Departamento de Entomología, Laboratorio Departamental de Salud Pública, Secretaría de Salud del Guaviare, Guaviare, Colombia., Orozco MT; Área de Vigilancia en Salud Pública, Secretaría de Salud del Guaviare, Guaviare, Colombia., Vallecilla S; Área de Vigilancia en Salud Pública, Secretaría de Salud de Miraflores, Guaviare, Colombia., Padilla JC; Red de Gestión de Conocimiento, Investigación e Innovación en Malaria, Bogotá, Colombia., Olivera MJ; Grupo de Parasitología, Instituto Nacional de Salud de Colombia, Bogotá, Colombia. |
| Abstrakt: |
We present a case of acute phase Chagas disease in a 40-year-old male patient from Vereda Buenos Aires, Municipality of Miraflores, Department of Guaviare. The patient attended the emergency department with fever, headache, asthenia, adynamia and dysuria. The blood smear and urinalysis were positive for symptomatic urinary tract infection, but negative for malaria. Five days later the diagnosis of acute phase Chagas disease was confirmed after a positive result for Trypanosoma cruzi. The patient was treated with nifurtimox and benznidazole, his contacts and risk areas were investigated, an active entomological community and institutional search was carried out, as well as in the reservoirs, finally, laboratory surveillance for possible cases of infection in the community was conducted. Five cases with similar symptoms were identified, but parasitological tests were negative. Health education measures were implemented to prevent the spread of the disease. |
