title: FIRST REPORT OF ACUTE CHAGAS DISEASE BY VECTOR TRANSMISSION IN RIO DE JANEIRO STATE, BRAZIL.
abstract: Chagas disease (CD) is an endemic anthropozoonosis from Latin America of which the main means of transmission is the contact of skin lesions or mucosa with the feces of triatomine bugs infected by Trypanosoma cruzi. In this article, we describe the first acute CD case acquired by vector transmission in the Rio de Janeiro State and confirmed by parasitological, serological and PCR tests. The patient presented acute cardiomyopathy and pericardial effusion without cardiac tamponade. Together with fever and malaise, a 3 cm wide erythematous, non-pruritic, papule compatible with a "chagoma" was found on his left wrist. This case report draws attention to the possible transmission of CD by non-domiciled native vectors in non-endemic areas. Therefore, acute CD should be included in the diagnostic workout of febrile diseases and acute myopericarditis in Rio de Janeiro.
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BR.
authors.forename: Luiz Henrique Conde
authors.initials: LH
authors.lastname: Sangenis
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BR.
authors.forename: Andréa Silvestre
authors.initials: AS
authors.lastname: De Sousa
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BR.
authors.forename: Gilberto Marcelo
authors.initials: GM
authors.lastname: Sperandio Da Silva
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BR.
authors.forename: Sérgio Salles
authors.initials: SS
authors.lastname: Xavier
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BR.
authors.forename: Carolina Romero Cardoso
authors.initials: CR
authors.lastname: Machado
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BR.
authors.forename: Patrícia
authors.initials: P
authors.lastname: Brasil
authors.affiliation: Intituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BR.
authors.forename: Liane
authors.initials: L
authors.lastname: De Castro
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BR.
authors.forename: Sidnei
authors.initials: S
authors.lastname: Da Silva
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BR.
authors.forename: Ingebourg
authors.initials: I
authors.lastname: Georg
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BR.
authors.forename: Roberto Magalhães
authors.initials: RM
authors.lastname: Saraiva
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BR.
authors.forename: Pedro Emmanuel Alvarenga Americano
authors.initials: PE
authors.lastname: do Brasil
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BR.
authors.forename: Alejandro Marcel
authors.initials: AM
authors.lastname: Hasslocher-Moreno
mesh_terms: D000208:Acute Disease; D000818:Animals; D001938:Brazil; D014355:Chagas Disease / Q000175:diagnosis / Q000635:transmission*; D006801:Humans; D007303:Insect Vectors / Q000469:parasitology*; D008297:Male; D008875:Middle Aged; D014224:Triatoma / Q000469:parasitology*; D014349:Trypanosoma cruzi