Begin  The Authors
 Introduction

Tropical Diseases:

I Leishmaniasis
II Paracoccidioidomycosis
III Blastomycocis
IV Chromoblastomycosis
V Lepra
VI Sporotrichosis
VII Histoplasmosis
VIII Rhinosporidiosis
IX Mycetomas
X Rhinoscleroma
XI Chagasdisease
XII Actinomycosis
XIII Mucormycosis
XIV Amoebiasis
XV Protothecosis
XVI Lobomycosis
XVII Phaeohyphomycosis
XVIII Pruritus actinicus
XIX Bite of snake
XX Coccidioidomycosis

 List of cases

 References
 Contact

XI. Chagas Disease

Case 61: Chagas Disease / Dermatophytosis

Previus Case 60

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Chagas Disease

Dermatophytosis

Click here to see the picture 61-A1
Fig.61-A1
Chagas Disease

The primary infection takes place by the sting of the vector, in Venezuela called Rhodnius prolixus, with the production of a chagoma in the skin, as described in previus case, or of the socalled Romaña sign, i. e.a blepharitis, we are presenting in this case. It is one-sided.

Click here to see the picture 61-B1
Fig.61-B1
Dermatophytosis

In this case a fungal infection provoked a blepharitis.

Click here to see the picture 61-A2
Fig.61-A2
Chagas Disease

The parasite producing the infection reaching the bloodstream is the protozoan Trypanosoma cruzi with his typical flagellum.

Click here to see the picture 61-B2
Fig.61-B2
Dermatophytosis

Trichophyton rubrum was the causing agent. Here we show a culture colony of this fungus.

Click here to see the picture 61-A3
Fig.61-A3
Chagas Disease

The habitat of the vectors, the Triatomidae, harbouring the trypanosomes, in its found mostly in the roofs of the huts (ranchos) in our country.

Click here to see the picture 61-B3
Fig.61-B3
Dermatophytosis

Microscopically T. rubrum is seen in this smear of the culture.

Click here to see the picture 61-A4
Fig.61-A4
Chagas Disease

Here we show the Triatomidae called Rhodnius prolixus in different sizes with their eggs.

Click here to see the picture 61-A5
Fig.61-A5
Chagas Disease

In this infestation mostly the heart and the myocardium are affected with the production of a typical acute myocarditis accompanied by a marked hypertrophy and dilatation of the ventricles, as shown in this picture.


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Facultad de Medicina
Universidad de Los Andes
Merida - Venezuela