前言:恰加斯病及其全球影响

F. Masangkay, G. Milanez, H. Oz, V. Nissapatorn
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引用次数: 0

摘要

来自南美洲安第斯海岸Chinchorro文化成员的木乃伊遗骸的软组织标本被发现对克氏锥虫(T.克氏)DNA[1]呈阳性。Chinchorros是智利北部和秘鲁南部太平洋沿海地区的渔民,美洲锥虫病或恰加斯病的病原体克氏锥虫目前被列为几种被忽视的热带病之一,也是世界卫生组织(WHO)和疾病控制中心(CDC)公共卫生干预重点关注的五种被忽视的寄生虫感染之一。这一发现表明,美洲锥虫病的病原体已经存在了9000年左右,因为检测呈阳性的样本可以追溯到公元前7050年。有一些历史记载也提到了恰加斯病的流行,但其中一些只是推测性的评估,因为患者的体征和症状与当前疾病的病理生理学不一致。甚至有人猜测查尔斯·达尔文本人感染了恰加斯病,但大众的观点并不同意,因为没有实际的临床证据支持查尔斯·达尔文确实患有巨结肠或心脏病,甚至在他生命的后期。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Introductory Chapter: Chagas Disease and Its Global Impacts
Soft tissue specimens from mummified remains of members of the Chinchorro culture of the Andean coast in South America have been found to be positive for Trypanosoma cruzi (T. cruzi) DNA [1]. The Chinchorros were fishermen inhabiting the pacific coastal region of northern Chile and southern Peru and T. cruzi the causative agent of American trypanosomiasis or Chagas disease is presently listed as one of the several neglected tropical diseases (NTDs) and as one of the five neglected parasitic infections (NPIs) of the world focused by the World Health Organization (WHO) and the Center for Disease Control (CDC) for public health intervention [2]. This finding spells out that the causative agent of American trypanosomiasis has been around for 9000 years already as the samples which tested positive are dated back to 7050 B.C. [1]. There are several historical accounts that have also mentioned about the prevalence of Chagas disease but some of these are just speculative assessments as signs and symptoms of patients were not consistent with the current pathophysiology of the disease. There were even speculations that Charles Darwin himself was infected with Chagas disease but popular opinions disagree as there were no actual clinical evidences to support that Charles Darwin was indeed suffering from megacolon or heart disease even later on in his life [3].
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