What is the drug of choice for Chagas disease?

The two drugs used to treat infection with T. cruzi
T. cruzi
Chagas disease (T. cruzi infection) is also referred to as American trypanosomiasis. It is estimated that as many as 8 million people in Mexico, Central America, and South America have Chagas disease, most of whom do not know they are infected. If untreated, infection is lifelong and can be life threatening.
https://www.cdc.gov › parasites › chagas › gen_info › detailed
are nifurtimox and benznidazole. Benznidazole is approved by FDA for use in children 2–12 years of age and is available from www.benznidazoletablets.com .
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What is the best medication for Chagas?

To kill the parasite, Chagas disease can be treated with benznidazole or nifurtimox. Both medicines are nearly 100% effective in curing the disease if given soon after infection at the onset of the acute phase, including the cases of congenital transmission.
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Are there any new drugs for Chagas disease?

Researchers have identified a new compound that is 100% effective in treating mice and non-human primates infected with Trypanosoma cruzi, the parasite that causes Chagas disease. The compound, known as AN15368, appears to be safe, elicits no significant side effects, and is more effective than existing drugs.
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Can ivermectin cure Chagas disease?

Ivermectin and Chagas disease

To our knowledge, a connection between ivermectin and T. cruzi has never been described in the literature (in neither animal reservoirs nor humans). 1 17 To the best of our knowledge, there is currently no evidence that would justify CD treatment with ivermectin.
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How long do you have to treat Chagas disease?

Treatment for Chagas disease includes taking an antiparasitic medicine for up to 2 months.
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Chagas Disease | American Trypanosomiasis | Causes, Symptoms and Treatment



How do doctors test for Chagas?

The diagnosis of Chagas disease can be made by observation of the parasite in a blood smear by microscopic examination. A thick and thin blood smear are made and stained for visualization of parasites.
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Can you survive Chagas disease?

Chagas disease (T. cruzi infection) is also referred to as American trypanosomiasis. It is estimated that as many as 8 million people in Mexico, Central America, and South America have Chagas disease, most of whom do not know they are infected. If untreated, infection is lifelong and can be life threatening.
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Is Chagas disease lifelong?

Chagas disease has an acute and a chronic phase. If untreated, infection is lifelong.
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What organ does Chagas disease affect?

Also called American trypanosomiasis, Chagas disease can infect anyone. Left untreated, Chagas disease later can cause serious heart and digestive problems.
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What organ system does Chagas disease affect?

Chagas disease is an infectious disease caused by the protozoan Trypanosoma cruzi. The disease mainly affects the nervous system, digestive system and heart.
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What drugs are FDA approved for Chagas disease?

* Benznidazole is FDA-approved for the treatment of Chagas disease (American trypanosomiasis) caused by Trypanosoma cruzi in pediatric patients 2–12 years of age.
...
Common side effects of benznidazole treatment include the following:
  • Allergic dermatitis.
  • Peripheral neuropathy.
  • Anorexia and weight loss.
  • Insomnia.
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What is the mortality rate of Chagas?

Chagas disease causes approximately 10,000 deaths per year globally. Up to 30% of infected people develop symptoms. Chagas disease can cause: Stroke.
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Does Chagas need to be treated?

Treatment for Chagas disease is recommended for people diagnosed early in the course of infection (acute phase), babies with congenital infection, and for those with suppressed immune systems. Many patients with chronic infection may also benefit from treatment.
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Can you get Chagas disease in the US?

Most people with Chagas disease in the United States were infected in the parts of Latin America where Chagas disease is found. Although there are triatomine bugs in the United States, only a few cases of Chagas disease from contact with the bugs have been documented in this country.
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What is the major concern for chronic Chagas disease patients?

Nearly 30% of chronically-infected patients become symptomatic, often with a latency of 10-30 years, developing life-threatening complications. Of those, nearly 90% develop Chagas heart disease, while the others manifest gastrointestinal disease and neuronal disorders.
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Should I get tested for Chagas?

A specific test is necessary for the diagnosis of Chagas disease. The test detects the presence of the infection through analysis of a blood sample. Anyone who suspects that they may have Chagas disease should ask their doctor to order this test.
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Does Chagas affect the brain?

The involvement of the central nervous system (CNS) during human acute and chronic Chagas disease (CD) has been largely reported. Meningoencephalitis is a frequent finding during the acute infection, while during chronic phase the CNS involvement is often accompanied by behavioral and cognitive impairments.
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What are the neurological symptoms of Chagas disease?

In the chronic phase, it presents as neuritis that results in altered tendon reflexes and sensory impairment, and is reported in up to 10% of the patients. Isolated cases of central nervous system involvement can also include dementia, confusion, chronic encephalopathy and sensitive and motor deficits.
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What is the symptom onset of Chagas disease?

Symptoms of Chagas disease in the acute phase (the first few weeks or months) are: Mild, flu-like symptoms, such as fever, fatigue, body aches, and headaches. Rash. Loss of appetite.
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What does Chagas disease do to the heart?

Chagas cardiomyopathy represents the most frequent and serious complication of chronic Chagas disease, affecting about 20-30% of patients, potentially leading to heart failure, arrhythmias, thromboembolism, stroke and sudden death.
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Do all kissing bugs carry Chagas disease?

Scientists have found that about 50% of kissing bugs are infected with the Chagas parasite. Kissing bugs are a 'vector' because they can carry a parasite that can make people and animal sick. The parasite is Trypanosoma cruzi, and it causes Chagas disease.
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Can Chagas spread from person to person?

Chagas disease can be transmitted in five different ways: by a vector (through the faeces of an insect), through vertical or congenital transmission (from mother to her child during pregnancy), by way of blood transfusions or organ transplants, by ingesting contaminated food or drinks, or because of laboratory ...
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Where is Chagas disease most common?

It is caused by the parasite Trypanosoma cruzi, which is transmitted to animals and people by insect vectors and is found only in the Americas (mainly, in rural areas of Latin America where poverty is widespread).
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How much is a Chagas test?

Results: The cost of Chagas' disease test in the blood bank of Seccional Bolívar was COP$ 37,804 (USD$ 12), and the blood bag and immunohematology test costs were COP$ 25,941 (USD$ 8.2) and COP$ 6,800 (USD$ 2.2), respectively.
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