Conversation: The conversation between human and AI assistant.
[|Human|] Is there any long term illness that can be a result of sand flee bites. Severe allergic reaction to sand flee bites 3 years ago required a visit to the ER while on vacation in Florida. Several months later full blown symtoms of RA developed and  severe joint and muscular pain is a daily occurance 3 years later.
[|AI|]  Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, allergic reaction and trypanosoniasis can occur with the sand fly bites. If allergic reaction is severe at first time it will be more severe on second time. So in my advice you should avoid the sand fly bites second time. It may be life-threatening on second time. This both condition can cause joint pain, pancytopenia and other symptoms. You should examine yourself for the trypanosomia. Peripheral blood examination and bone marrow examination can be helpful for diagnosis. Bone marrow examination can help diagnose the various morphological forms of the parasites. Once you treat the condition all the problem will be solved. Please use repellant, net and personal protective equipment for the prevention. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.