Volume 91, Issue 6
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Rocky Mountain spotted fever, a tick-borne disease caused by , is challenging to diagnose and rapidly fatal if not treated. We describe a decedent who was co-infected with group A β-hemolytic streptococcus and . Fatal cases of Rocky Mountain spotted fever may be underreported because they present as difficult to diagnose co-infections.


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  • Received : 13 Jul 2014
  • Accepted : 17 Jul 2014
  • Published online : 03 Dec 2014
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