Evidence of Autochthonous Chagas Disease in Southeastern Texas

Melissa N. Garcia Baylor College of Medicine, National School of Tropical Medicine, Section of Tropical Medicine, Houston, Texas; Baylor College of Medicine, Department of Medicine, Section of Cardiology, Houston, Texas; Gulf Coast Regional Blood Center, Houston, Texas; United States Centers for Disease Control and Prevention, Division of Parasitic Diseases and Malaria, Atlanta, Georgia

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David Aguilar Baylor College of Medicine, National School of Tropical Medicine, Section of Tropical Medicine, Houston, Texas; Baylor College of Medicine, Department of Medicine, Section of Cardiology, Houston, Texas; Gulf Coast Regional Blood Center, Houston, Texas; United States Centers for Disease Control and Prevention, Division of Parasitic Diseases and Malaria, Atlanta, Georgia

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Rodion Gorchakov Baylor College of Medicine, National School of Tropical Medicine, Section of Tropical Medicine, Houston, Texas; Baylor College of Medicine, Department of Medicine, Section of Cardiology, Houston, Texas; Gulf Coast Regional Blood Center, Houston, Texas; United States Centers for Disease Control and Prevention, Division of Parasitic Diseases and Malaria, Atlanta, Georgia

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Susan N. Rossmann Baylor College of Medicine, National School of Tropical Medicine, Section of Tropical Medicine, Houston, Texas; Baylor College of Medicine, Department of Medicine, Section of Cardiology, Houston, Texas; Gulf Coast Regional Blood Center, Houston, Texas; United States Centers for Disease Control and Prevention, Division of Parasitic Diseases and Malaria, Atlanta, Georgia

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Susan P. Montgomery Baylor College of Medicine, National School of Tropical Medicine, Section of Tropical Medicine, Houston, Texas; Baylor College of Medicine, Department of Medicine, Section of Cardiology, Houston, Texas; Gulf Coast Regional Blood Center, Houston, Texas; United States Centers for Disease Control and Prevention, Division of Parasitic Diseases and Malaria, Atlanta, Georgia

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Hilda Rivera Baylor College of Medicine, National School of Tropical Medicine, Section of Tropical Medicine, Houston, Texas; Baylor College of Medicine, Department of Medicine, Section of Cardiology, Houston, Texas; Gulf Coast Regional Blood Center, Houston, Texas; United States Centers for Disease Control and Prevention, Division of Parasitic Diseases and Malaria, Atlanta, Georgia

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Laila Woc-Colburn Baylor College of Medicine, National School of Tropical Medicine, Section of Tropical Medicine, Houston, Texas; Baylor College of Medicine, Department of Medicine, Section of Cardiology, Houston, Texas; Gulf Coast Regional Blood Center, Houston, Texas; United States Centers for Disease Control and Prevention, Division of Parasitic Diseases and Malaria, Atlanta, Georgia

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Peter J. Hotez Baylor College of Medicine, National School of Tropical Medicine, Section of Tropical Medicine, Houston, Texas; Baylor College of Medicine, Department of Medicine, Section of Cardiology, Houston, Texas; Gulf Coast Regional Blood Center, Houston, Texas; United States Centers for Disease Control and Prevention, Division of Parasitic Diseases and Malaria, Atlanta, Georgia

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Kristy O. Murray Baylor College of Medicine, National School of Tropical Medicine, Section of Tropical Medicine, Houston, Texas; Baylor College of Medicine, Department of Medicine, Section of Cardiology, Houston, Texas; Gulf Coast Regional Blood Center, Houston, Texas; United States Centers for Disease Control and Prevention, Division of Parasitic Diseases and Malaria, Atlanta, Georgia

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Autochthonous transmission of Trypanosoma cruzi in the United States is rarely reported. Here, we describe five newly identified patients with autochthonously acquired infections from a small pilot study of positive blood donors in southeast Texas. Case-patients 1–4 were possibly infected near their residences, which were all in the same region ∼100 miles west of Houston. Case-patient 5 was a young male with considerable exposure from routine outdoor and camping activities associated with a youth civic organization. Only one of the five autochthonous case-patients received anti-parasitic treatment. Our findings suggest an unrecognized risk of human vector-borne transmission in southeast Texas. Education of physicians and public health officials is crucial for identifying the true disease burden and source of infection in Texas.

Author Notes

* Address correspondence to Melissa N. Garcia, Baylor College of Medicine, National School of Tropical Medicine, Section of Tropical Medicine, 1102 Bates Avenue, Houston, TX 77008. E-mail: mnolan@bcm.edu

Financial support: This study was generously funded by an intramural pilot grant from Baylor College of Medicine's Cardiovascular Research Institute.

Authors' addresses: Melissa N. Garcia, Rodion Gorchakov, Peter J. Hotez, and Kristy O. Murray, Baylor College of Medicine, National School of Tropical Medicine, Department of Pediatrics, Section of Tropical Medicine, Houston, TX, E-mails: mnolan@bcm.edu, rodion@bcm.edu, hotez@bcm.edu, and kmurray@bcm.edu. David Aguilar, Baylor College of Medicine, Department of Medicine, Section of Cardiology, Houston, TX, E-mail: daguilar@bcm.edu. Susan N. Rossmann, Gulf Coast Regional Blood Center, Houston, TX, E-mail: srossmann@giveblood.org. Susan P. Montgomery and Hilda Rivera, Centers for Disease Control and Prevention, Division of Parasitic Diseases and Malaria Parasitic Disease, Atlanta, GA, E-mails: zqu6@cdc.gov and igi2@cdc.gov. Laila Woc-Colburn, Baylor College of Medicine, National School of Tropical Medicine, Department of Medicine, Section of Infectious Diseases, Houston, TX, E-mail: lailawoc@gmail.com.

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