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

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posted on 2018-12-05, 03:08 authored by Karla Cristina Petruccelli, Gabriel Castro Tavares, Márcio Pinheiro Lima, Jessica Vanina Ortiz, Alba Regina Brandão, Katia do Nascimento Couceiro, João Marcos Bemfica Barbosa-Ferreira, Mônica Regina Hosannah da Silva e Silva, Maria das Graças Vale Barbosa Guerra, Jorge Augusto de Oliveira Guerra

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.