Chagas’ disease may or may not present an acute phase. When it is present, the incubation period is about 5 to 14 days. The chronic phase, however, can manifest in more than 10 years after the infection.
At the site where the trypanosoma has penetrated the skin or the mucosa becomes swelled: This sign is known as chagoma. Another sign that may appear in up to 20% of cases after the infection is the Romana’s sign, a swelling of one of the eyelids when infection took place through the ocular route. In the acute Chagas’ disease fever, malaise, inflammation and enlargement of lymph nodes may occur. In more severe cases fatal inflammation of the cardiac muscle or of the meninges may happen.