Case 207. Trypanosomiasis (25 y-o F)

       
  Peripheral blood smear in a Brasilian, complaining of hemilateral swelling of the face and eye lid and lymphadenopathy (Romana's sign)  
       

 

  C-shaped trypomastigotes of T. cruzi are seen in the peripheral blood (parasitemia). Usually, the clinical course is benign. Chronic trypanosomiasis is called Chagas disease (refer to case 231).