title: Fatal spotted fever rickettsiosis, Kenya.
abstract: 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.
authors.affiliation: United States Army Medical Research Unit, Nairobi, Kenya.
authors.forename: Jeremiah S
authors.initials: JS
authors.lastname: Rutherford
authors.forename: Kevin R
authors.initials: KR
authors.lastname: Macaluso
authors.forename: Nathaniel
authors.initials: N
authors.lastname: Smith
authors.forename: Sherif R
authors.initials: SR
authors.lastname: Zaki
authors.forename: Christopher D
authors.initials: CD
authors.lastname: Paddock
authors.forename: Jon
authors.initials: J
authors.lastname: Davis
authors.forename: Norman
authors.initials: N
authors.lastname: Peterson
authors.forename: Abdu F
authors.initials: AF
authors.lastname: Azad
authors.forename: Ronald
authors.initials: R
authors.lastname: Rosenberg
mesh_terms: 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*