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. 2021 Aug 16;105(3):643–650. doi: 10.4269/ajtmh.20-1141

Table 3.

Patients with Chagas reactivation by direct microscopy

n Sex Age (yrs) CD4+ (cells/mm3) VL (copies/mL) qPCR blood clot (parasites/mL) qPCR whole blood (parasites/mL) ECG Neurologic symptoms Other diagnoses Outcome
1 M 22 52 689,568 0.00 34.94 RBBB HA, left-sided weakness; space occupying lesion on CT Possible toxoplasmosis Discharged on benznidazole
2 M 27 15 6,705 9,951.48 21,462.13 Normal Syncope, nausea, dizziness Gastroenteritis, community-acquired pneumonia, esophageal candidiasis Discharged on benznidazole
3 M 26 29 317,789 0.00 9.28 Normal Fever, nausea, vomiting Miliary TB Died in the hospital, secondary to Chagas vs. miliary TB
4 M 26 3 237,684 3,264.64 1,492.53 Normal Headache, fever, confusion, nausea, dizziness Pulmonary TB, Anemia, gastroenteritis Refused treatment, left hospital against medical advice

CT = computed tomography; ECG = echocardiogram; HA = headache; IQR = interquartile range; M = male; qPCR = quantitative polymerase chain reaction; RBBB = right bundle branch block; TB = tuberculosis; VL = viral load.