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Cardiac morbidity due to Chagas' disease in a rural community in Bolivia

Published online by Cambridge University Press:  15 May 2009

Th. Weinke ,
K. Ueberrieiter  and
M. Alexander
Th. Weinke
Affiliation:
Robert Koch-Institute, Fachgebiet Klinische Parasitologie. Nordufer 20.1000 Berlin 65, West Germany.
K. Ueberrieiter
Affiliation:
Klinikum Charlottenburg der FU Berlin, Abteilung für innere Medizin mit Schwerpunkt Infektionskrankheiten, Spandauer Damm 130, 1000 Berlin 19, West Germany.
M. Alexander
Affiliation:
Klinikum Charlottenburg der FU Berlin, Abteilung für innere Medizin mit Schwerpunkt Infektionskrankheiten, Spandauer Damm 130, 1000 Berlin 19, West Germany.
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Summary

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The prevalence of cardiac morbidity due to Change' disease was assessed in a rural community in Central Bolivia. Sixty-nine of 104 persons (66%) were seropositive to Trypanosoma cruzi by two serological methods. Two of 35 (6%) seronegative individuals presented with modest ECG alterations (left anterior hemiblock), but 21 of 69 (30%) seropositives showed modest and severe abnormalities (6 complete right bundle branch block. 2 polyfocal or frequent extrasystoles, 9 ischaemic ST alterations). A high percentage (56%) of domiciliary Triatoma infestans was infected with T. cruzi. There was a significant association between seropositivity and substandard housing. Priority preventive measures should thus include house improvement (to reduce bug infestation) and health education.

Type
Research Article
Information
Epidemiology & Infection , Volume 101 , Issue 3 , December 1988 , pp. 655 - 660
Copyright
Copyright © Cambridge University Press 1988

References

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