The epidemiological significance of Chagas' disease in womem

Little is known about the risks associated with Trypanosoma cruzi infection in non-pregnant and pregnant women. From a limited number of studies it appears that in rural areas, parasite rates and rates of serological positivity are similar in both sexes. Abnormal ECG tracings are consistently more f...

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Main Author: Loretta Brabin
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 1992-03-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02761992000100012
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author Loretta Brabin
author_facet Loretta Brabin
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description Little is known about the risks associated with Trypanosoma cruzi infection in non-pregnant and pregnant women. From a limited number of studies it appears that in rural areas, parasite rates and rates of serological positivity are similar in both sexes. Abnormal ECG tracings are consistently more frequent in men suggesting that immunity to T. cruzi may be different in females. Complications arising from Chagas' disease in pregnancy are only infrequently reported. Evidence for increased risk of abortion or prematurity is inconclusive except in cases of congenital infection. Most cases of congenital Chagas' disease have been reported from non-endemic areas and there is a suggestion that parasitemic episodes during pregnancy may influence pregnancy outcome. Preliminary evidence indicates that chronic infection can result in in-utero sensitization via passively acquired maternal antibodies. The review concludes that maternal T. cruzi infection carries risks for the child and these warrant systematic research because of their public health significance.
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spelling doaj.art-b273f99cc9c44e12a66a7edfbdacb09f2023-08-02T09:28:35ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80601992-03-01871737910.1590/S0074-02761992000100012The epidemiological significance of Chagas' disease in womemLoretta BrabinLittle is known about the risks associated with Trypanosoma cruzi infection in non-pregnant and pregnant women. From a limited number of studies it appears that in rural areas, parasite rates and rates of serological positivity are similar in both sexes. Abnormal ECG tracings are consistently more frequent in men suggesting that immunity to T. cruzi may be different in females. Complications arising from Chagas' disease in pregnancy are only infrequently reported. Evidence for increased risk of abortion or prematurity is inconclusive except in cases of congenital infection. Most cases of congenital Chagas' disease have been reported from non-endemic areas and there is a suggestion that parasitemic episodes during pregnancy may influence pregnancy outcome. Preliminary evidence indicates that chronic infection can result in in-utero sensitization via passively acquired maternal antibodies. The review concludes that maternal T. cruzi infection carries risks for the child and these warrant systematic research because of their public health significance.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02761992000100012Trypanosoma cruziChagas' diseasesex differenceswomenpregnancysensitizationcongenital infection
spellingShingle Loretta Brabin
The epidemiological significance of Chagas' disease in womem
Memorias do Instituto Oswaldo Cruz
Trypanosoma cruzi
Chagas' disease
sex differences
women
pregnancy
sensitization
congenital infection
title The epidemiological significance of Chagas' disease in womem
title_full The epidemiological significance of Chagas' disease in womem
title_fullStr The epidemiological significance of Chagas' disease in womem
title_full_unstemmed The epidemiological significance of Chagas' disease in womem
title_short The epidemiological significance of Chagas' disease in womem
title_sort epidemiological significance of chagas disease in womem
topic Trypanosoma cruzi
Chagas' disease
sex differences
women
pregnancy
sensitization
congenital infection
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02761992000100012
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