We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Indigenous Chagas' Disease (American Trypanosomiasis) in California

Robert J. Schiffler, MD; G. Phillip Mansur, MD; Thomas R. Navin, MD; Khanchit Limpakarnjanarat, MD
JAMA. 1984;251(22):2983-2984. doi:10.1001/jama.1984.03340460061025.
Text Size: A A A
Published online


CHAGAS' disease (American trypanosomiasis) is an infection caused by the protozoan parasite Trypanosomacruzi. Despite the presence of the parasite in Triatoma insects (the vector of T cruzi) and mammals across the southern United States,1 only two patients with indigenous Chagas' disease have been described2,3; both were infants from Texas in 1955. We report herein the first recognized case of indigenous Chagas' disease in California and the first case reported in the United States since 1955.

Report of a Case  In August 1982, a 56-year-old woman from Lake Don Pedro, Calif, 120 miles east of San Francisco, was admitted to the hospital after 16 days of fever. The patient had lived in east-central California for 19 years. She had traveled outside the United States only once, when she visited the California-Mexico border town of Mexicali for an afternoon in 1978. She had never received blood transfusions, nor did


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.