Autor(es):
Zaidel, Ezequiel José ; Forsyth, Colin J. ; Novick, Gabriel ; Marcus, Rachel ; Ribeiro, Antonio Luiz P. ; Pinazo, Maria-Jesus ; Morillo, Carlos A. ; Echeverría, Luis Eduardo ; Shikanai-Yasuda, Maria Aparecida ; Buekens, Pierre ; Perel, Pablo ; Meymandi, Sheba K. ; Ralston, Kate ; Pinto, Fausto J. ; Sosa-Estani, Sergio
Data: 2020
Identificador Persistente: http://hdl.handle.net/10451/45642
Origem: Repositório da Universidade de Lisboa
Assunto(s): COVID-19; Chagas disease; Neglected tropical disease
Descrição
As the global COVID-19 pandemic advances, it increasingly impacts those vulnerable populations who already bear a heavy burden of neglected tropical disease. Chagas disease (CD), a neglected parasitic infection, is of particular concern because of its potential to cause cardiac, gastrointestinal, and other complications which could increase susceptibility to COVID-19. The over one million people worldwide with chronic Chagas cardiomyopathy require special consideration because of COVID-19's potential impact on the heart, yet the pandemic also affects treatment provision to people with acute or chronic indeterminate CD. In this document, a follow-up to the WHF-IASC Roadmap on CD, we assess the implications of coinfection with SARS-CoV-2 and Trypanosoma cruzi, the etiological agent of CD. Based on the limited evidence available, we provide preliminary guidance for testing, treatment, and management of patients affected by both diseases, while highlighting emerging healthcare access challenges and future research needs.
