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

• Main Author: Petruccelli,Karla Cristina
• Publication Date: 2018
• Other Authors: Tavares,Gabriel Castro, Lima,Márcio Pinheiro, Ortiz,Jessica Vanina, Brandão,Alba Regina, Couceiro,Katia do Nascimento, Barbosa-Ferreira,João Marcos Bemfica, Silva,Mônica Regina Hosannah da Silva e, Guerra,Maria das Graças Vale Barbosa, Guerra,Jorge Augusto de Oliveira
• Format: Report
• Language: eng
• Source: Revista da Sociedade Brasileira de Medicina Tropical
• Download full: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822018000600869
• topic: Acute kidney failure; Chagas disease; Brazilian Amazon

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.