Diagnóstico de la Enfermedad de Chagas congénito: Aspectos relevantes

Introducción: El presente artículo describe aspectos relevantes entorno de la Enfermedad de Chagas congénita, tales como epidemiología, sintomatología, revisión de casos clínicos y las técnicas diagnósticas. Métodos: Se realizó una revisión de la literatura por medio de bases de datos bibliográficas como PubMed, Science direct, Scopus, Plos One, SciELO, teniendo como criterio de inclusión las publicaciones artículos o comprendidos entre enero de 2013 y enero del año 2022 en idioma español e inglés. Resultados: Se determinó que la prevalencia de la Enfermedad de Chagas congénita aún es un problema de salud pública en áreas endémicas y no endémicas, siendo la serología materna indispensable para dar seguimiento oportuno a los casos. Conclusiones: Los seguimientos diagnósticos actuales difieren en los países endémicos y se están aplicando tamizajes en zonas no endémicas donde migran mujeres procedentes de áreas de trasmisión activa de la Enfermedad Chagásica.

Introduction: This article describes relevant aspects of congenital Chagas disease, such as epidemiology, symptoms, review of clinical cases, and diagnostic techniques. Methods: A review of the literature was carried out through bibliographic databases such as PubMed, Science direct, Scopus, Plos One, SciELO, having as inclusion criteria articles or publications between January 2013 and January 2022 in Spanish and English. Results: It was determined that the prevalence of congenital Chagas disease is still a public health problem in endemic and non-endemic areas, and maternal serology is essential for timely monitoring of cases. Conclusions: Current diagnostic follow-ups differ in endemic countries and screening is being applied in non-endemic areas where women from areas of active transmission of Chagasic disease migrate.

Caracterização epidemiológica e distribuição geográfica de potenciais vetores da doença de Chagas na região do Maciço de Baturité, Ceará, Brasil / Epidemiological characterization and geographical distribution of potential vectors of Chagas Disease in Maciço Baturité region, Ceara, Brazil

Objetivo: identificar potenciais vetores da doença de Chagas na região do Maciço de Baturité, Ceará. Métodos: no período de2014 a 2018, foi realizado estudo parasitológico em fezes de triatomíneos para Trypanosoma cruzi, em oito municípios da região do maciço de Baturité. Os triatomíneos foram capturados em ambiente intradomiciliar e peridomiciliar. Resultados: foram examinados 594 vetores, a diagnose revelou infecção natural por Trypanosoma cruzi em 79 (13,3%) espécimes, sendo, 53 machos (8,9%), 25 fêmeas (4,2%) e 1 ninfa (0,2%). Conclusão: os resultados evidenciam a região como endêmica para doença de Chagas com sete casos humanos confirmados em três municípios, existindo vários focos silenciosos em que pode haver a transmissão do agente etiológico.

Objective: to identify potential vectors of Chagas disease in the Baturité Massif region, Ceará Methods: during the period from 2014 to 2018, a parasitological study was performed on triatomine feces for Trypanosoma cruzi, in eight municipalities in Maciço Baturité region. Triatomines were captured indoors and peridomiciliary by endemic agents and population as well. Results: a total of594 vectors were examined, diagnosis revealed natural infection by Trypanosoma cruzi in79 (13,3%) specimens, being, 53 males (8,9%), 25 females (4,2%) and 1 nymph (0,2%). Conclusion: results evidenced the region as endemic to Chagas Disease with seven confirmed human cases in three municipalities with several silent foci where the causative agent might be transmitted.

Triatominos (Hemiptera: Reduviidae) de la sierra nevada de santa marta, colombia. Aspectos epidemiológicos, Entosmológicos y de distribución / Triatominae (Hemiptera: Reduviidae) in the Sierra Nevada of Santa Marta, Colombia. Epidemiological, entomological and distributional aspects

Se coleccionaron 207 insectos pertenecientes a cinco especies: Triatoma maculata, Panstrongylus geniculatus, Rhodnius prolixus, T. dimidiata y R. pallescens. R. prolixus y T. dimidiata fueron las especies con los indicadores entomológicos de infestación de viviendas, colonización, dispersión e infección triatomínica más importantes; así mismo predominaron en todas las colecciones, considerándose las especies con mayor importancia epidemiológica en la zona de estudio. El 82% de todas las especies de triatominos fueron capturados en ambientes intradomiciliarios. Adicionalmente, se amplía la distribución geográfica de R. pallescens. Conclusiones: Estos hallazgos sumados a la alta seroprevalencia para T. cruzi en la región, permiten concluir que la Sierra Nevada de Santa Marta es una zona de alto riesgo de transmisión de la enfermedad de Chagas.

Objective: To describe tne entomological indexes and epidemiological importance of triatomines (Hemiptera: Reduviidae) of tne north and east slope of Santa Marta's Sierra Nevada. Colombia. Methods: Cross-sectional descriptive study. Sampling was done in 196 indigenous nuts of seven towns. Triatomines collections were done inside nouses and in peridomestic areas. Results: A total of 207 triatomines belonging to five species: Triatoma maculata, Panstrongylus geniculatus, Rnodnius prolixus. T. dimidiata and R. pallescens. was collected. R. prolixus and T. dimidiata was the species witn tne most important entomological indexes of house infestation, colonization, dispersion and infection predominating in all collections, and are considered the most epidemiological important species in the area. 82% of all triatomine species were collected inside houses. Additionally, geographical distribution of R. pallescens is extended. Conclusions: Present reports plus high prevalence found in the zone allow us to conclude that Santa Martas' Sierra Nevada is of high risk for Chaga's disease transmission.