The Distribution and Abundance of Triatomine Insects, Potential Vectors of Chagas Disease, in a Metropolitan Area in Southern Arizona, United States

2012 ◽  
Vol 49 (6) ◽  
pp. 1254-1261 ◽  
Author(s):  
Carolina E. Reisenman ◽  
William Savary ◽  
Jillian Cowles ◽  
Teresa L. Gregory ◽  
John G. Hildebrand
Keyword(s):  
United States ◽  
Chagas Disease ◽  
Metropolitan Area ◽  
Triatomine Insects

scholarly journals Chagas Disease in the New York City Metropolitan Area

2020 ◽  
Vol 7 (5) ◽  
Author(s):  
Crystal Zheng ◽  
Orlando Quintero ◽  
Elizabeth K Revere ◽  
Michael B Oey ◽  
Fabiola Espinoza ◽  
...  
Keyword(s):  
United States ◽  
New York ◽  
New York City ◽  
Chagas Disease ◽  
Metropolitan Area ◽  
York City ◽  
Clinical Manifestations ◽  
Public Health Problem ◽  
The United States ◽  
Asymptomatic Patients

Abstract Background Chagas disease, caused by the parasite Trypanosoma cruzi, once considered a disease confined to Mexico, Central America, and South America, is now an emerging global public health problem. An estimated 300 000 immigrants in the United States are chronically infected with T. cruzi. However, awareness of Chagas disease among the medical community in the United States is poor. Methods We review our experience managing 60 patients with Chagas disease in hospitals throughout the New York City metropolitan area and describe screening, clinical manifestations, EKG findings, imaging, and treatment. Results The most common country of origin of our patients was El Salvador (n = 24, 40%), and the most common detection method was by routine blood donor screening (n = 21, 35%). Nearly half of the patients were asymptomatic (n = 29, 48%). Twenty-seven patients were treated with either benznidazole or nifurtimox, of whom 7 did not complete therapy due to side effects or were lost to follow-up. Ten patients had advanced heart failure requiring device implantation or organ transplantation. Conclusions Based on our experience, we recommend that targeted screening be used to identify at-risk, asymptomatic patients before progression to clinical disease. Evaluation should include an electrocardiogram, echocardiogram, and chest x-ray, as well as gastrointestinal imaging if relevant symptoms are present. Patients should be treated if appropriate, but providers should be aware of adverse effects that may prevent patients from completing treatment.

scholarly journals Current knowledge of Chagas-related heart disease among pediatric cardiologists in the United States

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sanchi Malhotra ◽  
Imran Masood ◽  
Noberto Giglio ◽  
Jay D. Pruetz ◽  
Pia S. Pannaraj
Keyword(s):  
United States ◽  
Differential Diagnosis ◽  
Heart Disease ◽  
Chagas Disease ◽  
Latin American ◽  
Current Knowledge ◽  
Parasitic Infection ◽  
The United States ◽  
Cardiac Complications ◽  
The U.S

Abstract Background Chagas disease is a pathogenic parasitic infection with approximately 8 million cases worldwide and greater than 300,000 cases in the United States (U.S.). Chagas disease can lead to chronic cardiomyopathy and cardiac complications, with variable cardiac presentations in pediatrics making it difficult to recognize. The purpose of our study is to better understand current knowledge and experience with Chagas related heart disease among pediatric cardiologists in the U.S. Methods We prospectively disseminated a 19-question survey to pediatric cardiologists via 3 pediatric cardiology listservs. The survey included questions about demographics, Chagas disease presentation and experience. Results Of 139 responses, 119 cardiologists treat pediatric patients in the U.S. and were included. Most providers (87%) had not seen a case of Chagas disease in their practice; however, 72% also had never tested for it. The majority of knowledge-based questions about Chagas disease cardiac presentations were answered incorrectly, and 85% of providers expressed discomfort with recognizing cardiac presentations in children. Most respondents selected that they would not include Chagas disease on their differential diagnosis for presentations such as conduction anomalies, myocarditis and/or apical aneurysms, but would be more likely to include it if found in a Latin American immigrant. Of respondents, 87% agreed that they would be likely to attend a Chagas disease-related lecture. Conclusions Pediatric cardiologists in the U.S. have seen very few cases of Chagas disease, albeit most have not sent testing or included it in their differential diagnosis. Most individuals agreed that education on Chagas disease would be worth-while.

scholarly journals Thirty-Day Laboratory-Based Surveillance for Carbapenem-Resistant Enterobacteriaceae in the Minneapolis-St. Paul Metropolitan Area

2014 ◽  
Vol 35 (4) ◽  
pp. 423-425 ◽  
Author(s):  
Edwin C. Pereira ◽  
Kristin M. Shaw ◽  
Paula M. Snippes Vagnone ◽  
Jane E. Harper ◽  
Alexander J. Kallen ◽  
...  
Keyword(s):  
United States ◽  
Metropolitan Area ◽  
The United States ◽  
Carbapenem Resistant ◽  
Over Time ◽  
Carbapenem Resistant Enterobacteriaceae

Carbapenem-resistant Enterobacteriaceae (CRE) are a growing problem in the United States. We explored the feasibility of active laboratory-based surveillance of CRE in a metropolitan area not previously considered to be an area of CRE endemicity. We provide a framework to address CRE surveillance and to monitor changes in the incidence of CRE infection over time.

Short-term follow-up systems for positive newborn screens in the Washington Metropolitan Area and the United States

2015 ◽  
Vol 116 (4) ◽  
pp. 226-230 ◽  
Author(s):  
Sarah Viall ◽  
Sneha Jain ◽  
Kimberly Chapman ◽  
Nicholas Ah Mew ◽  
Marshall Summar ◽  
...  
Keyword(s):  
United States ◽  
Metropolitan Area ◽  
The United States ◽  
Short Term

Prognostic impact of Chagas disease in the United States

2009 ◽  
Vol 157 (1) ◽  
pp. 22-29 ◽  
Author(s):  
José Milei ◽  
Roberto Andrés Guerri-Guttenberg ◽  
Daniel Rodolfo Grana ◽  
Rubén Storino
Keyword(s):  
United States ◽  
Chagas Disease ◽  
The United States ◽  
Prognostic Impact

scholarly journals Tolerance of Benznidazole in a United States Chagas Disease Clinic

2015 ◽  
Vol 60 (8) ◽  
pp. 1237-1240 ◽  
Author(s):  
D. A. Miller ◽  
S. Hernandez ◽  
L. Rodriguez De Armas ◽  
S. J. Eells ◽  
M. M. Traina ◽  
...  
Keyword(s):  
United States ◽  
Chagas Disease ◽  
Disease Clinic

scholarly journals Long-term trends in submicron particle concentrations in a metropolitan area of the northeastern United States

2018 ◽  
Vol 633 ◽  
pp. 59-70 ◽  
Author(s):  
Mauro Masiol ◽  
Stefania Squizzato ◽  
David C. Chalupa ◽  
Mark J. Utell ◽  
David Q. Rich ◽  
...  
Keyword(s):  
United States ◽  
Metropolitan Area ◽  
Northeastern United States ◽  
Submicron Particle ◽  
Long Term Trends
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