Fatal spotted fever rickettsiosis, Kenya.
We report a fatal case of rickettsiosis in a woman from the United States living in Kenya, who had a history of tick exposure. Immunohistochemical staining of skin, kidney, and liver demonstrated spotted fever group rickettsiae. The clinical findings, severity, and fatal outcome are most consistent with Rickettsia conorii infection.
Rutherford
Jeremiah S
JS
United States Army Medical Research Unit, Nairobi, Kenya.
Macaluso
Kevin R
KR
Smith
Nathaniel
N
Zaki
Sherif R
SR
Paddock
Christopher D
CD
Davis
Jon
J
Peterson
Norman
N
Azad
Abdu F
AF
Rosenberg
Ronald
R
D000328:Adult; D000818:Animals; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007630:Kenya; D012281:Rickettsia / Q000145:classification / Q000302:isolation & purification*; D012282:Rickettsia Infections / Q000382:microbiology*; D017282:Tick-Borne Diseases / Q000382:microbiology*