CUTANEOUS FUNGI:

(infected reduviid bug bites and defecates (trypomastigotes contained in feces enter host bloodstream( local replication in M( and infiltration( chagoma (nonflagellated, round amastigotes w/in host cells (myocardial, glial, reticuloendothelial) (chagoma (Romana sign) near bite site: facial edema (periorbital, perioral) + nodule ................
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