malinda
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A 14-year-old boy has just moved with his family from Brazil to the U.S. He starts complaining of shortness of
breath and palpitations. Chest x-ray films demonstrate pulmonary congestion, and ECG shows alterations in
heart rhythm. Echocardiography reveals biventricular dilatation with massive cardiac enlargement. An
endomyocardial biopsy shows diffuse interstitial fibrosis, myocyte necrosis, chronic inflammation, and the
presence of intracellular protozoan parasites. The patient may also develop which of the following complications?
A. Achalasia
B. Chronic arthritis
C. Cysts in the brain
D. Pleuritis
E. Splenomegaly
Plz discuss whatever you know about the answer options.
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| msyamp
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trypanoma cruzi infection effects are neural plexus and also causes myocarditis. it is common in brazil and latin america effects myentric prexus and LES causeinf achalasia
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| ssrpk
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can't agree with u more 
just to add! this is the same pathogenic mechanism for toxic megacolon ...
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| msyamp
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hey its ok
any way my exam is near and i will stop bothering you people. i will answer only ones you want me to. like stats and others which i like most.
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| ssrpk
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good luck for the exams, just don't hold any of your punches!
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