Malaria Probably Locally Acquired in New Jersey

In September 1991, the New Jersey Department of Health received two case reports of Plasmodium vivax malaria presumed to have been locally acquired in New Jersey. Both patients reported no known exposure to malaria, including travel to areas of endemic disease. Case Reports Patient 1 Patient 1 was a 29-year-old woman who presented to her physician on September 9, 1991, with a four-day history of fevers (temperature, up to 39.9 °C [103.8 °F]), chills, headache, and a petechial rash on her legs. A blood smear, obtained four days earlier as part of a workup for hemochromatosis and just hours before . . .