Co-infección por Trypanosoma Cruzi y VIH: reporte de un caso de meningoencefalitis chagásica en Cochabamba, Bolivia

Abstract

The co-infection of Chagas disease with HIV can be a common in countries where both diseases are endemic, 70% of cases of chronic Chagas reactivated in HIV-infected patients with less than 200 CD4 / ul of blood giving more frequently CNS lesions with meningoencephalitis. The treatment of these cases of reactivation of infection by T. cruzi is an urgency to reduce the high risk of mortality due to the\nassociation of the two diseases. We report on a male patient, a case of reactivation of chronic Chagas infection, which is presented as a picture of meningoencephalitis and confirmed by demonstration of the parasite in CSF and peripheral blood, four months after specific treatment, we observed a relapse of the T. cruzi infection with a new picture of meningoencephalitis.