This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

MICHAEL M. SHEFFERMAN, MD; JAY S. GOODMAN, MD; LESLIE B. ULTAN, MD; JORGE VALDES, MD

Am J Dis Child. 1965;110(3):239-242.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

IT IS KNOWN that acute rheumatic fever can occur in tropical environments,^1-4 although it was believed to be rare or absent in some tropical areas.^5-6 On the other hand, it has not been established how much rheumatic fever exists in tropical areas, and it is uncertain whether the disease presents the same clinical picture observed in temperate zones.

It has been stated by some that the clinical expression of rheumatic fever is milder in tropical climates than in temperate regions.⁷ Others believe that rheumatic heart disease is found in the tropics but that acute rheumatic fever is rarely seen.² Moreover, it was pointed out in 1931 that children with active rheumatic disease transported from New York to San Juan escaped hemolytic streptococcal infections in Puerto Rico and benefited temporarily, even though they developed recurrences on returning to New York.⁶ More recently, some investigators have concluded . . . [Full Text PDF of this Article]

Author Affiliations
SAN JUAN, PR; GUAYNABO, PR

From the Heart Disease Control Program, Department of Health, San Juan. Formerly, Heart Disease Control Officer, US Public Health Service, Department of Health, San Juan; presently Assistant Resident in Medicine, The George Washington University Hospital, Washington, DC (Dr. Shefferman). Formerly, Heart Disease Control Officer, US Public Health Service, Department of Health, San Juan; presently Assistant Resident in Medicine, Vanderbilt University Hospital, Nashville, Tenn (Dr. Goodman). Formerly, Heart Disease Control Officer, US Public Health Service, Department of Health, San Juan; presently Clinical Fellow in Cardiology, The Hahneman Hospital, Philadelphia (Dr. Ultan). Attending Pediatric Cardiologist, Convalescent Home, Guaynabo (Dr. Valdes).

Footnotes
Received for publication Jan 28, 1965.

Reprint requests to Department of Medicine, George Washington University Hospital, 901 Twenty-third St, NW, Washington, DC 20037.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?