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Infecção tripla por Trypanosoma cruzi, Plasmodium vivax e P. falciparum: relato de caso Triple infection by Trypanosoma cruzi, Plasmodium vivax and P. falciparum: case report

By Andrea Silvestre Lobão Costa, Valdira Cardoso Santos, Paoola Cristina Vieira Amorim, José Eduardo Santos and Ana Yecê das Neves Pinto

Abstract

O presente registro acerca da identificação de infecção aguda de dois plasmódios e um Trypanosoma constitui evento raro. Pré-escolar, sexo feminino, 5 anos de idade, apresentou síndrome febril; foi submetida a exame de gota espessa no qual foram identificadas formas assexuadas e sexuadas de Plasmodium vivax e P. falciparum, respectivamente, além de tripomastigotas sanguíneos de Trypanosoma cruzi. No peridomicílio, foram encontrados insetos da espécie Rhodnius sp. Os autores reforçam a importância dos estudos dos ciclos peridomiciliares de T. cruzi em ambientes silvestres na Amazônia e discutem a importância da estratégia de vigilância continuada de Trypanosomas spp. nos exames de gota espessa.<br>This report describes a rare case of acute infection caused by two Plasmodia and one Trypanosoma. 5 year-old female patient attending kindergarten presented persistent fever syndrome. She was submitted to thick smear exam, in which asexual and sexual forms of Plasmodium vivax and P. falciparum were detected, respectively, as well as trypomastigotes of Trypanosoma cruzi. Rhodnius sp. triatomines were found in the vicinity. The authors reinforce the importance of investigating the domiciliary cycles of T. cruzi in the Amazon region. Moreover, we discuss the importance of continuous monitoring of Trypanosomas spp. in thick smear exams

Topics: Doença de Chagas, Malária, Trypanosoma cruzi, Rhodnius, Coinfecção, Chagas disease, Malaria Trypanosoma cruzi, Rhodnius, Coinfection, Pathology, RB1-214, Medicine, R, DOAJ:Pathology, DOAJ:Medicine (General), DOAJ:Health Sciences
Publisher: Sociedade Brasileira de Patologia Clínica
Year: 2012
OAI identifier: oai:doaj.org/article:45300405cdea45869361987af2745fa1
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