Which worm causes myocarditis ?
## Core Concept
The question tests knowledge of parasitic infections that can lead to myocarditis, which is inflammation of the heart muscle. Myocarditis can result from various causes, including infections by certain parasites. The parasites listed in the options are types of helminths (worms) that can cause different diseases in humans.
## Why the Correct Answer is Right
The correct answer, *Trypanosoma cruzi*, is the causative agent of Chagas disease, which can lead to serious cardiac and gastrointestinal complications if left untreated. *Trypanosoma cruzi* is known to cause myocarditis among other systemic manifestations. The parasite primarily affects the heart, leading to cardiomyopathy and potentially fatal arrhythmias.
## Why Each Wrong Option is Incorrect
* **Option A:** *Ascaris lumbricoides* is a large intestinal roundworm that primarily causes intestinal obstruction and respiratory symptoms during its migratory phase but is not commonly associated with myocarditis.
* **Option B:** *Wuchereria bancrofti* is a filarial parasite causing lymphatic filariasis, characterized by lymphedema and elephantiasis, not myocarditis.
* **Option D:** *Ancylostoma duodenale* (hookworm) primarily causes intestinal infection leading to iron-deficiency anemia and malnutrition but is not associated with myocarditis.
## Clinical Pearl / High-Yield Fact
A key point to remember is that Chagas disease, caused by *Trypanosoma cruzi*, is a significant cause of myocarditis and cardiomyopathy in Latin America and can also affect individuals who travel to or migrate from endemic areas. Early diagnosis and treatment are crucial to prevent long-term cardiac complications.
## Correct Answer: C. Trypanosoma cruzi