A chronic protozoal disease caused by Trypanosoma cruzi, an organism common throughout Latin America.
Primary manifestations
Megacolon/megaesophagus (focal GI dilatation)
Occur secondary to destruction of the nerves controlling the GI smooth muscle
Cardiac disease
Pathophysiology
Not well understood
Probably represents a prolonged myocarditis secondary to protozoal infection
Sx (of CHF, which may be seen)
Pedal edema
Jugular venous distention
S3
Cariomegaly