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2 pts Your patient is a 25 yr old man who experienced heart palpitations and diz

ID: 79389 • Letter: 2

Question

2 pts 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 runs 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. What infectious agent has caused his illness? Trypanosoma brucei Leishmania donovani O Trypanosoma cruzi Trichomonas vaginalis Plasmodium falciparum Next Previous a

Explanation / Answer

1. Trypanosoma cruzi causes this illness.

2. It is transmitted by reduvvid bug bite

3. False. Sexual transmission of this illness still remains unproven and is unlikely.

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