A patient with dextrocardia and chagas disease: case report and literature review

Introduction: About half a million patients in Colombia are currently infected with Trypanosoma cruzi. However, little is known about patients with Chagas disease and anatomical defects such as dextrocardia. Case presentation: A 52-year-old male patient with a 4-year history of dyspnea, chest pai...

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Main Authors: Julián Felipe Porras-Villamil, Mario Javier Olivera
Format: Article
Language:English
Published: Universidad Nacional de Colombia 2021-04-01
Series:Case Reports
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Online Access:https://revistas.unal.edu.co/index.php/care/article/view/86469
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author Julián Felipe Porras-Villamil
Mario Javier Olivera
author_facet Julián Felipe Porras-Villamil
Mario Javier Olivera
author_sort Julián Felipe Porras-Villamil
collection DOAJ
description Introduction: About half a million patients in Colombia are currently infected with Trypanosoma cruzi. However, little is known about patients with Chagas disease and anatomical defects such as dextrocardia. Case presentation: A 52-year-old male patient with a 4-year history of dyspnea, chest pain, lower limb edema and syncope (requiring hospitalization), arrhythmias and dextrocardia, underwent serological tests for T. cruzi that were positive. A literature review was conducted to find case reports of patients with dextrocardia or situs inversus and Chagas disease in order to determine the proper treatment. Conclusion: Cases of patients with dextrocardia and Chagas disease are rare. Besides the reported case, only three other cases were found in the literature, which were relatively similar, although they could be considered more severe. According to the findings, the use of etiological treatment is acceptable in patients with coronary anatomic abnormalities and T. cruzi infection. The present case draws attention to the importance of adequately approaching and monitoring this type of patient.
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spelling doaj-art-2c23d7f0977149d4b7c81673609a1f852025-08-20T02:48:09ZengUniversidad Nacional de ColombiaCase Reports2462-85222021-04-017110.15446/cr.v7n1.86469A patient with dextrocardia and chagas disease: case report and literature reviewJulián Felipe Porras-Villamil0https://orcid.org/0000-0003-1861-4601Mario Javier Olivera1https://orcid.org/0000-0002-6885-6353Universidad Nacional de Colombia - Bogota Campus - Faculty of Medicine - Master’s Degree in Infections and Tropical Health - Bogotá D.C. - Colombia.Instituto Nacional de Salud - Parasitology Group - Bogotá, D.C. - Colombia. Introduction: About half a million patients in Colombia are currently infected with Trypanosoma cruzi. However, little is known about patients with Chagas disease and anatomical defects such as dextrocardia. Case presentation: A 52-year-old male patient with a 4-year history of dyspnea, chest pain, lower limb edema and syncope (requiring hospitalization), arrhythmias and dextrocardia, underwent serological tests for T. cruzi that were positive. A literature review was conducted to find case reports of patients with dextrocardia or situs inversus and Chagas disease in order to determine the proper treatment. Conclusion: Cases of patients with dextrocardia and Chagas disease are rare. Besides the reported case, only three other cases were found in the literature, which were relatively similar, although they could be considered more severe. According to the findings, the use of etiological treatment is acceptable in patients with coronary anatomic abnormalities and T. cruzi infection. The present case draws attention to the importance of adequately approaching and monitoring this type of patient. https://revistas.unal.edu.co/index.php/care/article/view/86469DextrocardiaChagas DiseaseSitus InversusAmerican Trypanosomiasis
spellingShingle Julián Felipe Porras-Villamil
Mario Javier Olivera
A patient with dextrocardia and chagas disease: case report and literature review
Case Reports
Dextrocardia
Chagas Disease
Situs Inversus
American Trypanosomiasis
title A patient with dextrocardia and chagas disease: case report and literature review
title_full A patient with dextrocardia and chagas disease: case report and literature review
title_fullStr A patient with dextrocardia and chagas disease: case report and literature review
title_full_unstemmed A patient with dextrocardia and chagas disease: case report and literature review
title_short A patient with dextrocardia and chagas disease: case report and literature review
title_sort patient with dextrocardia and chagas disease case report and literature review
topic Dextrocardia
Chagas Disease
Situs Inversus
American Trypanosomiasis
url https://revistas.unal.edu.co/index.php/care/article/view/86469
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