Case 231. 

Trypanosoma cruzi myocarditis (Chagas disease) (62 y-o M)
       
  Autopsied arrhythmic heart (720 g) in a Nisei farmer who stayed in Brasil for 40 years  
       

 

  High powered view discloses accumulation of round granules (amastigote-type protozoa) in the cytoplasm of the cardiomyocyte, confirming the diagnosis of chronic chagastic cardiopathy (HE).