Journal of Veterinary Internal Medicine (May 2022)

Antiparasitic treatment with itraconazole and amiodarone in 2 dogs with severe, symptomatic Chagas cardiomyopathy

  • Elizabeth L. Malcolm,
  • Ashley B. Saunders,
  • Jordan P. Vitt,
  • Bruno G. Boutet,
  • Sarah A. Hamer

DOI
https://doi.org/10.1111/jvim.16422
Journal volume & issue
Vol. 36, no. 3
pp. 1100 – 1105

Abstract

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Abstract Chagas cardiomyopathy, caused by the protozoal parasite Trypanosoma cruzi, is characterized by arrhythmias, myocardial damage, heart failure, and sudden death. We describe 2 dogs with severe, symptomatic Chagas cardiomyopathy characterized by myocardial dysfunction and electrocardiographic abnormalities that were managed with a combination of cardiac medications and antiparasitic treatment with itraconazole and amiodarone. Both dogs died suddenly within 6 months of diagnosis. These cases highlight the need for early detection of Chagas disease in dogs and continued research to develop effective antiparasitic treatment protocols.

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