Chagas disease in Europe: A review for the internist in the globalized world.

摘要: Chagas disease (CD) or American trypanosomiasis identified in 1909 by Carlos Chagas, has become over the last 40years a global health concern due to huge migration flows from Latin America Europe, United States, Canada and Japan. In most migrants CD-endemic areas are concentrated Spain, Italy, France, Kingdom Switzerland. Pooled seroprevalence studies conducted Europe show an overall 4.2% prevalence, with highest infection rates observed among individuals Bolivia (18.1%). However, European countries is neglected absence of screening programmes low access diagnosis treatment. Physicians working should also be aware risk autochthonous transmission Trypanosoma cruzi newborns their infected mothers recipients blood transplanted organs donors. Finally, physicians able recognize treat frequent serious complications chronic disease, namely cardiomyopathy, megacolon megaesophagus. This review aims highlights problem CD reviewing papers published researchers on this argument, order raise awareness internists who bound increasingly encounter patients routine daily activities.