Year 2020 / Volume 112 / Number 5
Letter
Megacolon with infectious etiology that is infrequent in our country: Chagas disease

423-424

DOI: 10.17235/reed.2020.6643/2019

María del Mar Díaz Alcázar, Beatriz Zúñiga de Mora Figueroa, Adelina García Robles,

Abstract
We present the case of a 37-year-old male with constipation refractory to medical treatment, in the context of megacolon due to Chagas disease. The entire gastrointestinal tract may be affected but the digestive form is characterized by megaesophagus and megacolon. There is altered peristalsis due to the destruction of the neurons of the enteric nervous system caused by the parasite. Although the mortality rate is low, the disease can have a considerable impact upon quality of life. Chagas disease is poorly recognized and undertreated by healthcare providers in non-endemic regions.
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References
Lara Romero C, Ferreiro Argüelles B, Romero Pérez E.Acute colonic complications in a patient with Chagas disease. Rev Esp Enferm Dig 2016;108(12):841.
Pérez Ayala A, Pérez Molina JA, Norman F, et al. Gastro-intestinal Chagas disease in migrants to Spain: prevalence and methods for early diagnosis. Annals of Tropical Medicine & Parasitology 2011;105(1):25–9.
Pinazo MJ, Cañas E, Elizalde JI, et al. Diagnosis, management and treatment of chronic Chagas’ gastrointestinal disease in areas where Trypanosoma cruzi infection is not endemic. Gastroenterol Hepatol 2010;33(3):191–200.
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Lopez-Velez R. Chagas gastrointestinal disease. [Internet] Uptodate. [Last updated Jul 2019; access Sep 2019]. Available from: www.uptodate.com
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Díaz Alcázar M, Zúñiga de Mora Figueroa B, García Robles A. Megacolon with infectious etiology that is infrequent in our country: Chagas disease. 6643/2019


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Publication history

Received: 24/09/2019

Accepted: 06/10/2019

Online First: 27/04/2020

Published: 08/05/2020

Article Online First time: 216 days

Article editing time: 227 days


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