4.0 Article

A Case of Possible Chagas Transmission by Blood Transfusion in Switzerland

Journal

TRANSFUSION MEDICINE AND HEMOTHERAPY
Volume 43, Issue 6, Pages 415-417

Publisher

KARGER
DOI: 10.1159/000446264

Keywords

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

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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. (C) 2016 S. Karger GmbH, Freiburg

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