This post is in recognition of Valentine's day while also keeping in our theme of parasites in muscle. The organ of interest this week is the heart of course! The following objects were seen in a endomyocardial biopsy from a patient with unexplained heart failure. What is your diagnosis?
Amastigotes in muscular cells? This looks like Trypanosoma cruzi infection!
ReplyDeleteTrypanosoma cruzi in the heart.
ReplyDeleteTransmitted by a kissing bug.
I love this case for Valentine, it fits perfectly hahaha.
-HLCM fan
Trypanosoma cruzi
ReplyDeleteThank you all for your lead, I see the amastigotes in the muscle cells. The other infective agent being amastigotes in the cells is Leishmania. Leishmaniasis manifests itself as cutaneous or visceral involving the spleen and liver while T. cruzi infection involves the cardiac muscles.
ReplyDeleteBeautiful case indeed and my cordial thanks to Dr. Pritt for another lesson on histologic Parasitology.
Florida Fan
LEHISMANIA
ReplyDeleteAgree with Trypanosoma cruzi amastigotes. In some amastigotes we can see clearly the nucleus and kinetoplast.
ReplyDeleteChagas disease ( trypanosomiasis)
ReplyDeleteTrypanosoma cruzi,
ReplyDeletethe etiologic agent of Chagas’ disease
Kissing bug kissess the heart
ReplyDeleteheart becomes failure...
Nice case dr. :)
Bangladeshi Fan
Eosinophilic granuloma surrounding a trypomastigote
ReplyDelete