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Chronic Chagas cardiomyopathy

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Severe heart failure at rest. The patient reported having been bitten several times by triatomine bugs in his life while working in rural areas of Brazil.

Patient Data

Age: 45 years
Gender: Male

Chest

x-ray

Global cardiomegaly with virtually no signs of pulmonary congestion. 

Case Discussion

This case illustrates non-specific global cardiomegaly on chest x-ray in a patient with severe heart failure due to chronic manifestations of Chagas disease

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