Chagas Disease

Todayโ€™s path rounds are on ๐‚๐ก๐š๐ ๐š๐ฌ ๐๐ข๐ฌ๐ž๐š๐ฌ๐ž!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐‚๐ก๐š๐ ๐š๐ฌ ๐๐ข๐ฌ๐ž๐š๐ฌ๐ž is also known as ๐€๐ฆ๐ž๐ซ๐ข๐œ๐š๐ง ๐ญ๐ซ๐ฒ๐ฉ๐š๐ง๐จ๐ฌ๐จ๐ฆ๐ข๐š๐ฌ๐ข๐ฌ, which gives you a clue as to what pathogen is involved! This disease is caused by ๐“๐ซ๐ฒ๐ฉ๐š๐ง๐จ๐ฌ๐จ๐ฆ๐š ๐œ๐ซ๐ฎ๐ณ๐ข, a parasite that is found in the bloodstream.

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
Any mammal can get this disease, but we most commonly see it in dogs!

๐–๐ก๐š๐ญ ๐œ๐š๐ฎ๐ฌ๐ž๐ฌ ๐ข๐ญ?
Chagas disease is transmitting by biting bugs, specifically ๐ญ๐ซ๐ข๐š๐ญ๐จ๐ฆ๐ข๐ง๐ž insects or โ€œkissing bugsโ€. There are over 130 types of kissing bugs in the Americas, meaning there are a lot of potential ๐ฏ๐ž๐œ๐ญ๐จ๐ซ๐ฌ (disease transmitting agents) out there! The bugs acquire the parasite from feeding on an infected animal. Within the bug, the parasite matures into ๐ญ๐ซ๐ฒ๐ฉ๐จ๐ฆ๐š๐ฌ๐ญ๐ข๐ ๐จ๐ญ๐ž๐ฌ, which are shed in the insectโ€™s feces. Animals will either ingest the infected bug itself or feed contaminated with insect feces, acquiring the parasite. The bugs can also transfer the parasite by feeding on a new host, which is the main mechanism of human transmission.

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
The trypomastigote form of the parasite invades into cells, particularly the heart and smooth muscle. Once inside a cell, it forms a ๐ฉ๐š๐ซ๐š๐ฌ๐ข๐ญ๐จ๐ฉ๐ก๐จ๐ซ๐จ๐ฎ๐ฌ ๐ฏ๐š๐œ๐ฎ๐จ๐ฅ๐ž, which is a big fancy name for basically a sac within the cell where the parasite lives. Within this vacuole, the parasite produces more and more trypomastigotes, which are released into blood circulation. This vacuole poses a major issue for animals, as it interrupts normal cellular function. Because this parasite likes to live in the heart, animals often present with heart failure, ๐ฆ๐ฒ๐จ๐œ๐š๐ซ๐๐ข๐ญ๐ข๐ฌ (inflammation of the heart muscle) and irregular heartbeats. The damage caused by this parasite can go unnoticed for months to years, before finally appearing as a heart condition.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
The easiest method of diagnosis is looking at a ๐›๐ฅ๐จ๐จ๐ ๐ฌ๐ฆ๐ž๐š๐ซ under the microscope, to visualize the trypomastigotes. They are easily identifiable, and very unique in shape and structure.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐?
Treatment typically involves antiparasitic medications that are specific for Chagas disease, like ๐›๐ž๐ง๐ณ๐ง๐ข๐๐š๐ณ๐จ๐ฅ๐ž.

๐๐ก๐จ๐ญ๐จ๐ฌ
1) A kissing bug, the main vector of Chagas disease.
2-3) Trypanosomes on a blood smear.
4-5) Heart muscle under the microscope invaded by parasitic organisms!

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Wilkowsky SE. Trypanosomiasis in Animals. Merck Veterinary Manual 2022.

Photo 1 ยฉ Wikimedia Commons contributor Heigen Villacarlos licensed under CC Share-Alike 4.0 International.
Photos 2-3 ยฉ Cells and Smears Veterinary Clinical Pathology Digital Database licensed under CC Non-commercial Share-Alike 4.0 International.
Photos 4-5 Noahโ€™s Arkive contributor Dick licensed under CC BY-SA 4.0.

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