title: Brazilian spotted fever: description of a fatal clinical case in the State of Rio de Janeiro.
abstract: We describe a case of Brazilian spotted fever in a previously healthy young woman who died with petechial rash associated to acute renal and respiratory insufficiency 12 days following fever, headache, myalgia, and diarrhea. Serologic test in a serum sample, using an immunofluorescence assay, revealed reactive IgM/IgG.
authors.affiliation: Departamento de Virologia do Instituto Oswaldo Cruz da Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil. elemos@ioc.fiocruz.br
authors.forename: Elba Regina Sampaio
authors.initials: ER
authors.lastname: de Lemos
authors.forename: Tatiana
authors.initials: T
authors.lastname: Rozental
authors.forename: Cid Leite
authors.initials: CL
authors.lastname: Villela
mesh_terms: D000328:Adult; D000907:Antibodies, Bacterial / Q000097:blood*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D012284:Rickettsia rickettsii / Q000276:immunology* / Q000302:isolation & purification; D012373:Rocky Mountain Spotted Fever / Q000175:diagnosis*
chemical_list: D000907:Antibodies, Bacterial