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Volume 23, Number 10—October 2017

Fatal Rocky Mountain Spotted Fever along the United States–Mexico Border, 2013–2016

Naomi A. DrexlerComments to Author , Hayley Yaglom, Mariana Casal, Maria Fierro, Paula Kriner, Brian Murphy, Anne Kjemtrup, and Christopher D. Paddock
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (N.A. Drexler, C.D. Paddock); Arizona Department of Health Services, Phoenix, Arizona, USA (H. Yaglom, M. Casal); Imperial County Public Health Department, El Centro, California, USA (M. Fierro, P. Kriner); County of San Diego Health and Human Services Agency, San Diego, California, USA (B. Murphy); California Department of Public Health, Sacramento, California, USA (A. Kjemtrup)

Main Article


Selected epidemiologic and clinical elements from patients with fatal cases of RMSF along the US–Mexico border, 2013–2016*

Element Case-patient 1 Case-patient 2 Case-patient 3 Case-patient 4
Patient history
Known exposure in RMSF-epidemic area of Mexico + + +
Evidence of receipt of medical care in Mexico + +
Prescribed nontetracycline antimicrobial drug
Signs and symptoms at initial presentation
Fever + + + +
Headache + +
Nausea/vomiting/diarrhea + +

Severe end-stage manifestations
Skin necrosis + + +
Rash + + + +
Respiratory failure + + + +
Disseminated intravascular coagulation +

*RMSF, Rocky Mountain spotted fever; +, present; blank cells, absent.

Main Article

Page created: September 18, 2017
Page updated: September 18, 2017
Page reviewed: September 18, 2017
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.