- Central and South America, via reduviid bug bite
- Most have no acute sx
- If acute sx present, can include→ f, c, sweats, malaise, ha, n, v, d x weeks
- Chronic sx in 20-30%, including: lower esophageal dysmotility
- Cardiomyopathy→ CHF, dysrhythmia
- Rare acute findings: skin nodule at bite