Format

Send to

Choose Destination
Rev Soc Bras Med Trop. 2018 Nov-Dec;51(6):869-872. doi: 10.1590/0037-8682-0156-2018.

Type 1 cardiorenal syndrome in a patient with an acute infection caused by Trypanosoma cruzi in the Brazilian Amazon region - a case report.

Author information

1
Faculdade de Medicina, Universidade Federal do Amazonas, Manaus, AM, Brasil.
2
Programa de Pós-Graduação em Medicina Tropical, Universidade do Estado do Amazonas, Manaus, AM, Brasil.
3
Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, AM, Brasil.
4
Hospital Universitário Francisca Mendes, Manaus, AM, Brasil.
5
Fundação de Hematologia e Hemoterapia do Amazonas, Manaus, AM, Brasil.

Abstract

Cardiorenal syndrome type 1 (CRS 1) occurs when acute heart failure leads to acute kidney injury. There are several etiologies of CRS 1, including Chagas disease. Here, we present the first case report of CRS 1 in a patient with acute Chagas disease. Electrocardiography, transthoracic echocardiography, and cardiac magnetic resonance imaging showed signs of acute myocarditis. Laboratory examination revealed severe loss of kidney function, with a creatinine clearance of 30 mL/min, which fully normalized after treatment. Due to emergence of Chagas disease in the Brazilian Amazon, it is important to report unique clinical features in order to improve patients' outcomes.

PMID:
30517546
DOI:
10.1590/0037-8682-0156-2018
Free full text

Supplemental Content

Full text links

Icon for Scientific Electronic Library Online
Loading ...
Support Center