title: Fatal human infection with Rickettsia rickettsii, Yucatán, Mexico.
abstract: The first fatal Rickettsia rickettsii infection was diagnosed in the southwest of Mexico. The patient had fever, erythematous rash, abdominal pain, and severe central nervous system involvement with convulsive crisis. The diagnosis of R. rickettsii infection was established by immunohistochemistry and specific polymerase chain reaction.
authors.affiliation: Universidad Auttónoma de Yucatán, Mérida Yucatán, México. zavala@tunku.uady.mx
authors.forename: Jorge E
authors.initials: JE
authors.lastname: Zavala-Castro
authors.forename: Jorge E
authors.initials: JE
authors.lastname: Zavala-Velázquez
authors.forename: David H
authors.initials: DH
authors.lastname: Walker
authors.forename: Edgar E
authors.initials: EE
authors.lastname: Ruiz Arcila
authors.forename: Hugo
authors.initials: H
authors.lastname: Laviada-Molina
authors.forename: Juan P
authors.initials: JP
authors.lastname: Olano
authors.forename: José A
authors.initials: JA
authors.lastname: Ruiz-Sosa
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Small
authors.forename: Karla R
authors.initials: KR
authors.lastname: Dzul-Rosado
mesh_terms: D002675:Child, Preschool; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008800:Mexico / Q000453:epidemiology; D012373:Rocky Mountain Spotted Fever / Q000175:diagnosis* / Q000453:epidemiology