Literature DB >> 27994528

A Case of Possible Chagas Transmission by Blood Transfusion in Switzerland.

Judith Ries1, Adriana Komarek1, Jochen Gottschalk1, Birgit Brand2, Lorenz Amsler3, Markus Jutzi3, Beat M Frey1.   

Abstract

BACKGROUND: Transfusion-transmitted Chagas disease has been reported from endemic countries in Latin America. Switzerland is a non-endemic country but high prevalence of antibodies against Trypanosoma cruzi was found among immigrants. Immigrants may participate in blood donation; therefore, risk-adapted anti-T. cruzi screening for blood donors was implemented in Switzerland in 2013.
METHODS: Between January 2013 and July 2015, 1 out of 1,183 at-risk donors, tested at Blood Transfusion Service Zurich, was found anti-T. cruzi IgG-positive. RESULTS AND
CONCLUSION: Out of 54 donations given by the index donor (ID), we identified 77 blood products which were delivered to hospitals. Archived serum samples from the donations given during the prior 5 years were available for retrospective testing. All samples from ID revealed positive findings for anti-T. cruzi IgG. Donor-triggered look-back procedure identified a 70-year-old male recipient of a platelet concentrate (PC) donated by ID. The recipient succumbed of acute T. cruzi infection 2 years after transfusion of the PC.

Entities:  

Keywords:  Chagas disease; Donor screening; Transfusion-associated infections; Trypanozoma cruzi

Year:  2016        PMID: 27994528      PMCID: PMC5159710          DOI: 10.1159/000446264

Source DB:  PubMed          Journal:  Transfus Med Hemother        ISSN: 1660-3796            Impact factor:   3.747


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