trypanosomiasis

Chagas disease, or American trypanosomiasis, is an illness that can cause serious heart and stomach problems. It is caused by a parasite. Chagas disease is common in Latin America, especially in poor, rural areas. It can also be found in the United States, most often in people who were infected before they moved to the U.S.

Chagas disease is caused by the Trypanosoma cruzi parasite. It is usually spread by infected blood-sucking bugs called triatomine bugs. They are also known as "kissing bugs" because they often bite people's faces. When one of these bugs bites you, it leaves behind infected waste. You can become infected if you rub the waste in your eyes or nose, the bite wound, or a cut.

Chagas disease can also spread through contaminated food, a blood transfusion, a donated organ, or from the pregnant parent to the baby during pregnancy.

Kissing bugs can be found throughout the Americas, but they are more common in certain areas. The people who are most at risk for Chagas disease:

• Live in rural areas of Latin America
• Have seen the bugs, especially in those areas
• Have stayed in a house with a thatched roof or with walls that have cracks or crevices

In the beginning, there may be no symptoms. Some people do get mild symptoms, such as:

• Fever
• Fatigue
• Body aches
• Headache
• Loss of appetite
• Diarrhea
• Vomiting
• A rash
• A swollen eyelid

These early symptoms usually go away. However, if you don't treat the infection, it stays in your body. Later, it can cause serious intestinal and heart problems such as:

• An serious arrhythmia (a problem with the rate or rhythm of your heartbeat) that can cause sudden death
• An enlarged heart that doesn't pump blood well
• Problems with digestion and bowel movements
• An increased chance of having a stroke

To find out if you have Chagas disease, your health care provider:

• Will do a physical exam
• Will take your medical history, including asking about your symptoms and where you have lived and traveled
• Will run a blood test for Chagas disease
• May run tests to see whether the disease has affected your intestines and heart

Medicines can kill the parasite, especially early on. You can also treat related problems. For example, a pacemaker can help with some heart complications.

There are no vaccines or medicines to prevent Chagas disease. If you travel to areas where it occurs, you are at higher risk if you sleep outdoors or are staying in poor housing conditions. It is important to use insecticides to prevent bites and practice food safety.

Centers for Disease Control and Prevention