Key result
Three patients aged 53 to 63 years with positive Chagas disease serology presented with embolic strokes, highlighting Chagas as a differential diagnosis for stroke in endemic areas.
Case Report (n=3)
Chronic Chagas disease should be considered in the differential diagnosis of embolic stroke for patients from endemic areas.
Answers are grounded in this paper and cite their sources.
May support considering Chagas in embolic stroke differentials from endemic areas; leaves open prevalence and screening utility.
Chagas disease is caused by the flagellated par- asite Trypanosoma cruzi. In Ecuador, this disease has been recognized since 1936, with a prevalence of 1.38% in the general population. Between 15 and 30% of infected persons can develop chronic disease with predominance of chronic cardiac and digestive symptoms. Among its major neuro- logical complications is stroke. Here, we report 3 cases of patients between 53 and 63 years with embolic stroke. In all cases two serological tests for Chagas disease were positive. Comprehensive studies were performed utilizing transtho- racic and transesophageal echocardiography, CT and MRI of the brain and followed up for three years. Case 1 had a left temporal-parietal stroke, Case 2 had an infarct of right middle cerebral artery with hemorrhagic transformation, and Case 3 had left striatal infarction adjacent to the old and new stroke. Chronic of Chagas disease should be included in the differential diagnosis of embolic stroke in individuals from Chagas-endemic areas.
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Tomás Alarcón Avilés (2011) conducted a case report in Chagas disease and embolic stroke (n=3). Chagas disease was evaluated on Embolic stroke. Three patients aged 53 to 63 years with positive Chagas disease serology presented with embolic strokes, highlighting Chagas as a differential diagnosis for stroke in endemic areas.
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