Key result
A patient with Chagas disease experienced an atypical rapid deterioration to severe cardiomyopathy over 16 months, highlighting the need for increased routine surveillance.
Case Report (n=1)
This case demonstrates that Chagas cardiomyopathy can atypically progress rapidly over 16 months, highlighting the need for increased surveillance in high-risk patients.
Alerts clinicians to possible rapid Chagas cardiomyopathy progression; leaves open whether intensified surveillance improves outcomes.
Chagas disease, caused by the parasite Trypanosoma cruzi, can cause a potentially life-threatening cardiomyopathy in approximately 10-40% of afflicted individuals. The decline in cardiac function characteristically progresses over the course of many years. We report a case of Chagas disease in which the patient experienced an atypical rapid deterioration to severe cardiomyopathy over the course of 16 months. This case argues the need for increased routine surveillance for patients with confirmed T. cruzi infection, who are determined to be at high-risk for worsening cardiomyopathy.
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Hollowed et al. (2016) conducted a case report in Chagas Cardiomyopathy (n=1). Trypanosoma cruzi infection was evaluated on rapid deterioration to severe cardiomyopathy. A patient with Chagas disease experienced an atypical rapid deterioration to severe cardiomyopathy over 16 months, highlighting the need for increased routine surveillance.
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