Reactivation of Trypanosoma cruzi infection in a patient with acquired immunodeficiency syndrome

Revista da Sociedade Brasileira de Medicina Tropical

Coelho, Janice Mery Chicarino¹  Martins, Ivana A.¹  Centro de Pesquisa do Hospital Evandro Chagas¹  Hasslocher- Moreno, Alejandro¹  Santos, Ricardo Ribeiro dos¹  Xavier, Sérgio Salles¹  Galhardo, Maria Clara Gutierrez¹  Junqueira, Angela Cristina Veríssimo¹ 

关键词: HIV;    AIDS;    Chagas' disease;    Trypanosoma cruzi;    Myocarditis;    Meningoencephalitis;   

DOI  :  10.1590/S0037-86821999000300011

学科分类：农业科学（综合）

来源: Sociedade Brasileira de Medicina Tropical

【 摘 要 】

A patient with AIDS and asymptomatic Chagas's disease and positive xenodiagnosis was taking ketoconazole in order to supress parasitemia and prevent reactivation of Chagas's disease. Ketoconazole was unplanned suspended after 6 months, and the patient was admitted with fever, headache, vomiting, tachycardia, postural hypotension, hepatosplenomegaly, and positive xenodiagnosis one month later. Treatment with benzonidazole was begun leading to supression of parasitemia. The patient had probabily a neurotoxoplasmosis associated and progressed to coma and death with sepsis. No parasite was found in autopsy.

【 授权许可】

Unknown