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Your patient is a 25 yr old man who experienced heart palpitations and dizziness

ID: 269786 • Letter: Y

Question

Your patient is a 25 yr old man who experienced heart palpitations and dizziness before fainting during his soccer match. An ECG showed right bundle branch block. Holter monitoring showed multiple rums of ventricular tachycardia. A ventricular myocardial biopsy was performed. Microscopic examination revealed a lymphocytic inflammatory process surrounding areas containing amastigotes. The patient was born and raised in rural El Salvador and arrived in the US 2 years ago a. Where did he acquire the infection? b. What is the cause of his infection? C. His girlfriend is concerned she could have caught it from him. Is that possible? Why?

Explanation / Answer

An amastigote is a protist cell that does not have visible external flagella or cilia. The term is used mainly to describe an intracellular phase in the life-cycle of trypanosomes. He acquire this disease , while he was living in the rural area.

The disease may spread through blood transfusion, organ transplantation, eating food contaminated with the parasites. it is cause due infection of trypanosomes.

Yes, it is possible that due to Sexual contact or through blood tranfusion she might get infected.