Highlights the potential for Latin American immigrants to the United States to present with symptomatic chronic Chagas' disease, including cardiac and gastrointestinal syndromes.
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May prompt Chagas consideration in symptomatic Latin American immigrants; case reports leave open the need for prevalence and screening studies.
Chagas' disease is caused byTrypanosoma cruzi, a protozoan parasite that infects an estimated 10 to 12 million Latin Americans. Because infection is often lifelong, individuals from endemic areas may develop symptomatic chronic Chagas' disease years after emigrating to the United States. We report three immigrant patients from Latin America who illustrate the indeterminate phase and the symptomatic cardiac and gastrointestinal syndromes of this illness. (JAMA1985;254:3058-3060)
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Louis V. Kirchhoff (1985) studied this question.
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