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Volume 32, Number 9—September 2026

Research Letter

Outbreak of Brazilian Spotted Fever, Southeastern Brazil, 2018

Jardel BrasilComments to Author , Rodrigo N. Angerami, and Maria R. Donalisio
Author affiliation: Municipal Health Department, Americana, Brazil (J. Brasil); State University of Campinas, Campinas, Brazil (J. Brasil, R.N. Angerami, M.R. Donalisio)

Main Article

Table

Patient demographics and outcomes during a Brazilian spotted fever outbreak, Americana, Brazil, 2018*

Age, y/sex Race or
skin color
Onset of symptoms No. medical consultations before diagnosis Hospitalization date Treatment start date† Clinical outcome Date of outcome
45/M White Apr 26 2 May 7 May 7 Cure May 21
23/M White Apr 29 2 May 3 May 3 Death May 4
53/M White Apr 29 4 May 4 May 5 Death May 5
7/F White Apr 30 3 May 4 May 4 Death May 4
51/M Brown May 01 1 NA May 2 Cure NA
65/M Black May 04 3 May 13 May 14 Death May 14
45/M Brown May 05 3 May 9 May 9 Death May 14
6/M White May 06 2 May 8 May 9 Cure May 18
60/M White May 06 4 May 8 May 10 Death May 11
59/M White May 07 2 May 11 May 11 Death May 11
4/M Brown May 18 2 May 23 May 24 Death May 24
37/M Brown May 22 1 May 27 May 28 Death May 28
2/M White May 30 3 NA Jun 3 Death Jun 3
49/M White Jun 02 2 NA Jun 7 Death Jun 7
49/M Brown Jun 07 1 NA Jun 9 Cure NA

*NA, not applicable. †Treatment with doxycycline or chloramphenicol.

Main Article

Page created: July 11, 2026
Page updated: August 17, 2026
Page reviewed: August 17, 2026
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.
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