학술논문

Chagas disease reactivation: cutaneous manifestations in a transplanted patient
Document Type
report
Source
Anais Brasileiros de Dermatologia. December 2018 93(6)
Subject
Chagas disease
Immunosuppression
Kidney transplantation
Panniculitis
Language
English
ISSN
0365-0596
Abstract
Chagas disease is an endemic zoonosis caused by a protozoan agent called Trypanosoma cruzi. It is mainly transmitted by a hematophagous vector, and less frequently by blood transfusion, transplacental and solid organ transplant. In most cases, primary infection is not diagnosed and the disease progresses to a chronic phase. Immunosuppressed patients are a vulnerable population that may present an acute, atypical and severe reactivation of the chronic form of this disease. We hereby report a case of a female patient, who received a renal transplant with immunosuppressive treatment, who was diagnosed with a chagasic hypodermitis secondary to an acute reactivation of a chronic phase of this disease. We describe the clinical features, epidemiological and histopathological findings, treatment and course.