Volume 26, Number 4—April 2020
Needlestick-Associated Rocky Mountain Spotted Fever, Brazil
|Case-patient||Age, y/sex||Clinical signs and symptoms||Exposure factors||Date
||qPCR (gltA)||Conventional heminested PCR (ompA)†|
|Symptom onset||Serum collected||Death|
|A, patient||74/M||Fever, myalgia, dysuria, oliguria||Environmental exposure to woods, rivers, waterfalls; report of insect bite||Jul 20||Jul 22||Jul 24||+||+|
|B, nurse||30/M||Fever, maculopapular rash, acute respiratory distress syndrome, shock, oliguria||No reported tick or insect bites or environmental exposures; accidental percutaneous needlestick injury associated with case-patient A on July 23||Jul 30||Aug 2||Aug 5||+||+|
*Clinical and epidemiological data were retrieved from official spotted fever–rickettsiosis case forms collected for each patient by the Ministry of Health, Brazil (4). gltA, rickettsial citrate synthase gene; ompA, rickettsial outer membrane protein A gene; qPCR, quantitative PCR; +, positive.
†All PCR amplicons were sequenced and confirmed a 100% identity with Rickettsia rickettsii.
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