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Transfusion-Associated Acute Chagas Disease Acquired in the United States

1989; American College of Physicians; Volume: 111; Issue: 10 Linguagem: Inglês

10.7326/0003-4819-111-10-849

1539-3704

Irene Grant, Jonathan W.M. Gold, Murray Wittner, Herbert B. Tanowitz, Carl Nathan, Klaus Mayer, Lillian Reich, Norma Wollner, Laurel J. Steinherz, Fereshteh Ghavimi, Richard J. O’Reilly, Donald Armstrong,

Cardiomyopathy and Myosin Studies

Brief Reports15 November 1989Transfusion-Associated Acute Chagas Disease Acquired in the United StatesIrene H. Grant, MD, Jonathan W.M. Gold, MD, Murray Wittner, MD, PhD, Herbert B. Tanowitz, MD, Carl Nathan, MD, Klaus Mayer, MD, Lillian Reich, MD, Norma Wollner, MD, Laurel Steinherz, MD, Fereshteh Ghavimi, MD, Richard J. O'Reilly, MD, Donald Armstrong, MDIrene H. Grant, MD, Jonathan W.M. Gold, MD, Murray Wittner, MD, PhD, Herbert B. Tanowitz, MD, Carl Nathan, MD, Klaus Mayer, MD, Lillian Reich, MD, Norma Wollner, MD, Laurel Steinherz, MD, Fereshteh Ghavimi, MD, Richard J. O'Reilly, MD, Donald Armstrong, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-111-10-849 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAlthough a significant problem in Latin America (1), the transmission of Trypanosoma cruzi infection by transfusion has not been unequivocally documented in the United States. We report a case of severe acute transfusion-acquired Chagas disease in a child with Hodgkin disease who had never travelled to an endemic area; however, she had received platelets from an asymptomatic Bolivian immigrant who had serologic evidence of T. cruzi infection.An 11-year-old white girl with Hodgkin disease who had been in remission since May 1987 after splenectomy, radiotherapy, and chemotherapy presented in April 1988 with a temperature of 38.3 °C. Her physical examination...References1. Schmunis G. Chagas' disease and blood transfusion. 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Fulminant Chagas' disease in bone marrow transplantation [Abstract 418]. Program and Abstracts: Twenty-seventh Interscience Conference on Antimicrobial Agents and Chemotherapy. Washington, D.C.: American Society for Microbiology; 1987. Google Scholar7. Gutteridge W. Existing chemotherapy and its limitations. Br Med Bull. 1985;41:162-8. CrossrefMedlineGoogle Scholar8. Reed S. In vivo administration of recombinant IFN-Gamma induces macrophage activation, and prevents acute disease, immune suppression, and death in experimental Trypanosoma cruzi infections. J Immunol. 1988;140:4342-7. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Irene H. Grant, MD; Jonathan W.M. Gold, MD; Murray Wittner, MD, PhD; Herbert B. Tanowitz, MD; Carl Nathan, MD; Klaus Mayer, MD; Lillian Reich, MD; Norma Wollner, MD; Laurel Steinherz, MD; Fereshteh Ghavimi, MD; Richard J. O'Reilly, MD; Donald Armstrong, MDAffiliations: From Memorial Sloan-Kettering Cancer Center and Cornell University Medical College, New York, New York; and Albert Einstein College of Medicine, Bronx, New York. For current author addresses, see end of text. 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