Over the past two decades, several countries in Latin American, particularly Brazil, Venezuela, and Colombia, have experienced multiple outbreaks of oral Chagas disease. Transmission occurs secondary to contamination of food or beverages by triatomine (kissing bug) feces containing infective Trypanosoma cruzi metacyclic trypomastigotes. Orally transmitted infections are acute and potentially fatal. Oral Chagas transmission carries important clinical implications from management to public health policies compared to vector-borne transmission. This review aims to discuss the contemporary situation of orally acquired Chagas disease, and its eco-epidemiology, pathogenesis, and clinical management. We also propose preventive public health interventions to reduce the burden of disease and provide important perspectives for travel medicine. Travel health advisors need to counsel intending travellers to South America on avoidance of “deadly feasts” - risky beverages such as fruit juices including guava juice, bacaba, babaçu and palm wine (vino de palma), açai pulp, sugar cane juice and foodstuffs such as wild animal meats that may be contaminated with T. cruzi.

在过去的二十年里，拉丁美洲的几个国家，特别是巴西、委内瑞拉和哥伦比亚，多次爆发口腔恰加斯病。传播继发于食物或饮料被含有传染性克氏锥虫的锥虫（接吻虫）粪便污染亚环锥鞭毛体。经口传播的感染是急性的并且可能致命。与媒介传播相比，口腔恰加斯传播具有从管理到公共卫生政策的重要临床意义。本综述旨在讨论口腔获得性恰加斯病的当代状况及其生态流行病学、发病机制和临床管理。我们还提出预防性公共卫生干预措施，以减轻疾病负担并为旅行医学提供重要视角。旅行健康顾问需要建议打算前往南美洲的旅行者避免“致命的盛宴”——危险的饮料，如果汁，包括番石榴汁、巴巴巴、巴巴苏和棕榈酒 ( vino de palma)、巴西莓果肉、甘蔗汁和可能被克氏锥虫污染的野生动物肉等食品。