Chagas cardiomyopathy, caused by infection with Trypanosoma cruzi, is the leading cause of non-ischemic cardiomyopathy in Latin America. It has been described by the World Health Organization as one of the neglected tropical diseases. This case highlights the importance of including Chagas disease in the differential diagnosis for a patient from an endemic region presenting with non-ischemic cardiomyopathy and characteristic echocardiographic findings of left ventricular apical aneurysm. Treatment with benznidazole or nifurtimox remains controversial, but may be beneficial for selected patients. Our patient completed a sixty-day course of benznidazole provided through the Centers for Disease Control and Prevention.
To cite this article
A case of Chagas cardiomyopathy presenting as syncope and left ventricular apical aneurysm
Infectious Diseases & Tropical Medicine 2018; 4 (4): e501
Submission date: 23 Oct 2018
Revised on: 25 Oct 2018
Accepted on: 06 Nov 2018
Published online: 14 Dec 2018