Biggs HM et al. 2016. Diagnosis and management of tickborne rickettsial diseases: Rocky Mountain spotted fever and other spotted fever group rickettsioses, ehrlichioses, and anaplasmosis—United States. MMWR Recomm Rep 65: 1–44.
Nicholson WL, Paddock CD, Demma L, Traeger M, Johnson B, Dickson J, McQuiston J, Swerdlow D, 2006. Rocky Mountain spotted fever in Arizona: documentation of heavy environmental infestations of Rhipicephalus sanguineus at an endemic site. Ann N Y Acad Sci 1078: 338–341.
Eremeeva ME, Zambrano ML, Anaya L, 2011. Rickettsia rickettsii in Rhipicephalus ticks, Mexicali, Mexico. J Med Entomol 48: 418–421.
Álvarez-Hernández G, Roldán JFG, Milan NSH, Lash RR, Behravesh CB, Paddock CD, 2017. Rocky Mountain spotted fever in Mexico: past, present, and future. Lancet Infect Dis 17: e189–e196.
Gómez-Castellanos P, Tinoco-Gracia L, López-Valencia G, Oshima S, Medina Basulto G, 2015. Deteccion de especies del genero Rickettsia por PCR en pacientes del sector salud y analisis de factores de riesgo en Mexicali Baja California. Rev Biomed 26: 59.
Tinoco Gracia L, Lomelí MR, Hiro-Oshima S, Stephenson N, Foley J, 2018. Molecular confirmation of Rocky Mountain spotted fever epidemic agent in Mexicali, Mexico. Emerg Infect Dis 24: 1723–1725.
Zavala-Castro JE, Dzul-Rosado KR, León JJA, Walker DH, Zavala-Velázquez JE, 2008. An increase in human cases of spotted fever rickettsiosis in Yucatan, Mexico, involving children. Am J Trop Med Hyg 79: 907–910.
Tinoco-Gracia L, Quiroz-Romero H, Quintero-Martínez M, Rentería-Evangelista T, González-Medina Y, Barreras-Serrano A, Hori-Oshima S, Moro M, Vinasco J, 2009. Prevalence of Rhipicephalus sanguineus ticks on dogs in a region on the Mexico-USA border. Vet Rec 164: 59–61.
Tinoco-Gracia L, Quiroz-Romero H, Quintero-Martínez M, Rentería-Evangelista T, Barreras-Serrano A, Romano-Osuna M, García-Prieto B, Escárcega-Ávila A, 2009. Prevalencia de Infestación de Garrapatas (Rhipicephalus sanguineus) en Perros y su Asociación a Factores de Riesgo en la Zona Urbana de Mexicali, Baja California, México. VIII Congreso Nacional de Parasitología Veterinaria, Octubre 26–28, 2009, Mérida, Yucatán, México, 242.
Field-Cortazares J, Moreno JS-y, 2011. Rickettsiosis en Baja California. Bol Clin Hosp Infant Edo Son 28: 44–50.
Drexler N, Miller M, Gerding J, Todd S, Adams L, Dahlgren FS, Bryant N, Weis E, Herrick K, Francies J, 2014. Community-based control of the brown dog tick in a region with high rates of Rocky Mountain spotted fever, 2012–2013. PLoS One 9: e112368.
Yoder J, Benoit J, Rellinger E, Tank J, 2006. Developmental profiles in tick water balance with a focus on the new Rocky Mountain spotted fever vector, Rhipicephalus sanguineus. Med Vet Entomol 20: 365–372.
Parola P, Socolovschi C, Jeanjean L, Bitam I, Fournier P-E, Sotto A, Labauge P, Raoult D, 2008. Warmer weather linked to tick attack and emergence of severe rickettsioses. PLoS Negl Trop Dis 2: e338.
Dantas-Torres F, 2010. Biology and ecology of the brown dog tick, Rhipicephalus sanguineus. Parasit Vectors 3: 26.
Stenos J, Graves SR, Unsworth NB, 2005. A highly sensitive and specific real-time PCR assay for the detection of spotted fever and typhus group rickettsiae. Am J Trop Med Hyg 73: 1083–1085.
Guedes E, de Azevedo Prata MC, dos Reis ÉS, Cançado PH, Leite RC, 2012. Comparative efficiency of two models of CO2 traps in the collection of free-living stages of ixodides. Parasitol Res 111: 2325–2328.
Walker JB, Keirans JE, Horak IG, 2000. The Genus Rhipicephalus (Acari, Ixodidae): A Guide to the Brown Ticks of the World. Cambridge, England: Cambridge University Press.
Nava S et al. 2018. Rhipicephalus sanguineus (Latreille, 1806): neotype designation, morphological re-description of all parasitic stages and molecular characterization. Ticks Tick Borne Dis 9: 1573–1585.
Humair PF, Douet V, Moran Cadenas F, Schouls LM, Van De Pol I, Gern L, 2007. Molecular identification of bloodmeal source in Ixodes ricinus ticks using 12S rDNA as a genetic marker. J Med Entomol 44: 869–880.
Regnery RL, Spruill CL, Plikaytis B, 1991. Genotypic identification of rickettsiae and estimation of intraspecies sequence divergence for portions of two rickettsial genes. J Bacteriol 173: 1576–1589.
Bates D, Maechler M, Bolker B, Walker S, 2015. Fitting linear mixed-effects models using lme4. J Stat Softw 67: 1–48.
Zeileis A, 2004. Econometric computing with HC and HAC covariance matrix estimators. J Stat Softw 11: 1–17.
Venables WN, Ripley BD, 2002. Modern Applied Statistics with S, 4th edition. New York, NY: Springer.
Cançado PH, Piranda EM, Mourão GM, Faccini JL, 2008. Spatial distribution and impact of cattle-raising on ticks in the Pantanal region of Brazil by using the CO(2) tick trap. Parasitol Res 103: 371–377.
Field-Cortazares J, Escárcega-Ávila AM, López-Valencia G, Barreras-Serrano A, Tinoco-Gracia L, 2015. Seroprevalencia y factores de riesgo asociados a riquetsiosis (Rickettsia rickettsii) en humanos de Ensenada, Baja California, México. Gac Méd Méx 151: 42–46.
Tinoco-Gracia L et al. 2009. Diagnostico Serologico y Molecular de un Brote de Riquetsiosis (Rickettsia rickettsii) en Perros y un Humano en la Cuidad de Mexicali, Baja California. XXXIV Congreso Anual de Infectologia y Microbiologia Clinica, October 7–10, 2009, Guadalajara, Mexico.
Tinoco-Gracia L, Hori-Oshima S, Medina-Basulto G, Renteria-Evangelista T, Barreras-Serrano A, Lopez-Valencia G, Cueto-Gonzalez S, Romano-Osuna M, Garcia-Prieto B, 2009. Prevalencia y Factores de Riesgo de Riquetsiosis (Rickettsia rickettsii) en Perros en la Zona Urbana de Mexicali, Baja California. X Congreso Internacional COMVEPE BC-IICV, UABC, August 13–15, 2009, Tijuana, Mexico.
Tinoco-Gracia L, Hori-Oshima S, Medina-Basulto G, Renteria-Evangelista T, Barreras-Serrano A, Lopez-Valencia G, Cueto-Gonzalez S, Romano-Osuna M, Garcia-Prieto B, 2009. Prevalencia de Riquetsiosis (Rickettsia rickettsii) en Perros Asociada al Grado de Marginilidad en la Zona Urbana de Mexicali, Baja California. XIV Congreso Veterinario de Leon, September 2–5, 2009, Leon Mexico.
Romano-Osuna M, Tinoco-Gracia L, Hori-Oshima S, Medina-Basulto G, Rentería-Evangelista T, Barreras SA, López-Valencia G, García-Prieto B, 2009. Prevalencia de Riquetsiosis (Rickettsia rickettsii) en Perros Asociada al Sexo, Talla, Edad y Pelaje de la Zona Rural de Mexicali, Baja California, México. Segundo Congreso Latinamericano de Patologia Clinica Veterinaria, October 27–29, 2009, Mexico City, Mexico.
La Scola B, Raoult D, 1997. Laboratory diagnosis of rickettsioses: current approaches to diagnosis of old and new rickettsial diseases. J Clin Microbiol 35: 2715–2727.
Kaplan JE, Schonberger LB, 1986. The sensitivity of various serologic tests in the diagnosis of Rocky Mountain spotted fever. Am J Trop Med Hyg 35: 840–844.
Greene C, Kidd LB, Breitschwerdt E, 2012. Rocky Mountain and Mediterranean spotted fevers, cat-flea typhuslike illness, rickettsialpox, and typhus. Greene C, ed. Infectious Diseases of the Dog and Cat. St. Louis, MO: Elsevier, 259–270.
Linnemannn CC Jr., Schaeffer AE, Burgdorfer W, Hutchinson L, Philip RN, 1980. Rocky Mountain spotted fever in Clermont County, Ohio. II. Distribution of population and infected ticks in an endemic area. Am J Epidemiol 111: 31–36.
Demma LJ et al. 2005. Rocky Mountain spotted fever from an unexpected tick vector in Arizona. N Engl J Med 353: 587–594.
Tinoco Gracia L, Jácome-Ibarra M, Mattar-Lopez R, Flores-Duenas C, Guzman-Trejo J, Gómez-Castellanos P, Escárcega-Avila A, Montano-Marquez E, 2015. News of the rickettsiosis in Mexico. Biomed J (Suppl 1): 19–24.
Harris EK, Verhoeve VI, Banajee KH, Macaluso JA, Azad AF, Macaluso KR, 2017. Comparative vertical transmission of Rickettsia by Dermacentor variabilis and Amblyomma maculatum. Ticks Tick Borne Dis 8: 598–604.
Hernandez-Milán N, 2014. Risk Factors Associated to Rocky Mountain Spotted Fever: A Case-Control Study. Presented at U.S.-Mexico Border Binational Infectious Disease Conference, June 10–12, 2014, El Paso Convention Center, El Paso, TX.
Rechav Y, 1979. Migration and dispersal patterns of three African ticks (Acari: Ixodidae) under field conditions. J Med Entomol 16: 150–163.
McQuiston J, Guerra M, Watts M, Lawaczeck E, Levy C, Nicholson W, Adjemian J, Swerdlow D, 2011. Evidence of exposure to spotted fever group rickettsiae among Arizona dogs outside a previously documented outbreak area. Zoonoses Public Health 58: 85–92.
Álvarez-Hernández G, 2010. La fiebre manchada de las Montañas Rocosas, una epidemia olvidada. Salud Pública Méx 52: 1–3.
CDC, 2019. Rocky Mountain Spotted Fever–Statistics and Epidemiology. Available at: https://www.cdc.gov/rmsf/stats/index.html. Accessed April 22, 2019.
Nicholson WL, Allen KE, McQuiston JH, Breitschwerdt EB, Little SE, 2010. The increasing recognition of rickettsial pathogens in dogs and people. Trends Parasitol 26: 205–212.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 1251 | 734 | 127 |
Full Text Views | 1193 | 27 | 7 |
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An epidemic of Rocky Mountain spotted fever (RMSF) is ongoing in Mexicali, México. We visited 100 neighborhoods with diagnosed human cases and 100 control neighborhoods to evaluate knowledge of the epidemic; obtain data on the spatial distribution of dogs, canine seroprevalence and active infection, tick infestations, and presence of rickettsial DNA in ticks; and evaluate risk factors for human cases, seropositivity, and tick infestation within an unbiased study design. The majority (80%) of residents had heard of RMSF, but only 48% used acaricides in the home or on dogs. Case neighborhoods and those with high canine seroprevalence tended to be on the city periphery or in the agricultural valley. No dogs were polymerase chain reaction (PCR) positive for Rickettsia rickettsii, and the overall seroprevalence was 65% (titers from 64 to 1,024). PCR prevalence in ticks was 0.70%, confirmed by DNA sequencing as R. rickettsii; neighborhood prevalence ranged from 0.7% to 6.1%. Twelve percent of dogs had high tick burdens, and all ticks were Rhipicephalus sanguineus. Epidemiologically significant risk factors were ground covering for a neighborhood having a human case; dogs having poor body condition and weighing < 10 kg for canine seropositivity; dogs living at the home for the number of ticks in the environment; and being near canals, having trash on the patio, and a dog being thin for tick burdens on dogs. A One Health approach is crucial to understanding RMSF and brown dog ticks.
Financial support: J. F. acknowledges funding from the Pacific Southwest Regional Center of Excellence for Vector-Borne Diseases funded by the U.S. Centers for Disease Control and Prevention (Cooperative Agreement 1U01CK000516) and the UC Davis School of Veterinary Medicine. Funding was also provided by the Universidad Autónoma de Baja California, from the “XIII Call for Support for Social Service Projects 2017 of the Universidad Autónoma de Baja California and Funds of the Laboratory of Veterinary Public Health of the Institute for Veterinary Scientific Investigation.”
Authors’ addresses: Janet Foley and Emily Pascoe, Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA, E-mails: jefoley@ucdavis.edu and emilylpascoe@gmail.com. Luis Tinoco-Gracia, Yolanda Gonzalez, Sawako Hori-Oshima, Gilberto Lopez, and Mariana Jacome-Ibarra, Laboratorio de Salud Pública Veterinaria, Instituto de Investigaciones en Ciencias Veterinarias, Universidad Autónoma de Baja California, Mexicali, México, E-mails: ltinoco@uabc.edu.mx, yolygonzalez64@hotmail.com, shori@uabc.edu.mx, gilbertolopez@uabc.edu.mx, and mariana.jacome@uabc.edu.mx. Moises Rodriguez-Lomelí, Julia Estrada-Guzmán, and Elva Mattar-Lopez, Facultad de Medicina, Universidad Autónoma de Baja California, Mexicali, México, E-mails: moises.rodriguez.lomeli@uabc.edu.mx, juliaestrada@uabc.edu.mx, and emattar@uabc.edu.mx. Maria Fierro, Public Health Department, Imperial County, CA, E-mail: mariafierro@co.imperial.ca.us. Amy Peterson, Paige A. Armstrong, and Christopher D. Paddock, Rickettsial Zoonoses Branch, Centers for Disease Control and Prevention, Atlanta, GA, E-mails: amp7@cdc.gov, yzu9@cdc.gov, and cdp9@cdc.gov. Oscar E. Zazueta, Dirección de Enseñanza y Vinculación, Instituto de Servicios de Salud Pública del Estado de Baja California, Mexicali, México, E-mail: efren_zazueta89@hotmail.com.
Biggs HM et al. 2016. Diagnosis and management of tickborne rickettsial diseases: Rocky Mountain spotted fever and other spotted fever group rickettsioses, ehrlichioses, and anaplasmosis—United States. MMWR Recomm Rep 65: 1–44.
Nicholson WL, Paddock CD, Demma L, Traeger M, Johnson B, Dickson J, McQuiston J, Swerdlow D, 2006. Rocky Mountain spotted fever in Arizona: documentation of heavy environmental infestations of Rhipicephalus sanguineus at an endemic site. Ann N Y Acad Sci 1078: 338–341.
Eremeeva ME, Zambrano ML, Anaya L, 2011. Rickettsia rickettsii in Rhipicephalus ticks, Mexicali, Mexico. J Med Entomol 48: 418–421.
Álvarez-Hernández G, Roldán JFG, Milan NSH, Lash RR, Behravesh CB, Paddock CD, 2017. Rocky Mountain spotted fever in Mexico: past, present, and future. Lancet Infect Dis 17: e189–e196.
Gómez-Castellanos P, Tinoco-Gracia L, López-Valencia G, Oshima S, Medina Basulto G, 2015. Deteccion de especies del genero Rickettsia por PCR en pacientes del sector salud y analisis de factores de riesgo en Mexicali Baja California. Rev Biomed 26: 59.
Tinoco Gracia L, Lomelí MR, Hiro-Oshima S, Stephenson N, Foley J, 2018. Molecular confirmation of Rocky Mountain spotted fever epidemic agent in Mexicali, Mexico. Emerg Infect Dis 24: 1723–1725.
Zavala-Castro JE, Dzul-Rosado KR, León JJA, Walker DH, Zavala-Velázquez JE, 2008. An increase in human cases of spotted fever rickettsiosis in Yucatan, Mexico, involving children. Am J Trop Med Hyg 79: 907–910.
Tinoco-Gracia L, Quiroz-Romero H, Quintero-Martínez M, Rentería-Evangelista T, González-Medina Y, Barreras-Serrano A, Hori-Oshima S, Moro M, Vinasco J, 2009. Prevalence of Rhipicephalus sanguineus ticks on dogs in a region on the Mexico-USA border. Vet Rec 164: 59–61.
Tinoco-Gracia L, Quiroz-Romero H, Quintero-Martínez M, Rentería-Evangelista T, Barreras-Serrano A, Romano-Osuna M, García-Prieto B, Escárcega-Ávila A, 2009. Prevalencia de Infestación de Garrapatas (Rhipicephalus sanguineus) en Perros y su Asociación a Factores de Riesgo en la Zona Urbana de Mexicali, Baja California, México. VIII Congreso Nacional de Parasitología Veterinaria, Octubre 26–28, 2009, Mérida, Yucatán, México, 242.
Field-Cortazares J, Moreno JS-y, 2011. Rickettsiosis en Baja California. Bol Clin Hosp Infant Edo Son 28: 44–50.
Drexler N, Miller M, Gerding J, Todd S, Adams L, Dahlgren FS, Bryant N, Weis E, Herrick K, Francies J, 2014. Community-based control of the brown dog tick in a region with high rates of Rocky Mountain spotted fever, 2012–2013. PLoS One 9: e112368.
Yoder J, Benoit J, Rellinger E, Tank J, 2006. Developmental profiles in tick water balance with a focus on the new Rocky Mountain spotted fever vector, Rhipicephalus sanguineus. Med Vet Entomol 20: 365–372.
Parola P, Socolovschi C, Jeanjean L, Bitam I, Fournier P-E, Sotto A, Labauge P, Raoult D, 2008. Warmer weather linked to tick attack and emergence of severe rickettsioses. PLoS Negl Trop Dis 2: e338.
Dantas-Torres F, 2010. Biology and ecology of the brown dog tick, Rhipicephalus sanguineus. Parasit Vectors 3: 26.
Stenos J, Graves SR, Unsworth NB, 2005. A highly sensitive and specific real-time PCR assay for the detection of spotted fever and typhus group rickettsiae. Am J Trop Med Hyg 73: 1083–1085.
Guedes E, de Azevedo Prata MC, dos Reis ÉS, Cançado PH, Leite RC, 2012. Comparative efficiency of two models of CO2 traps in the collection of free-living stages of ixodides. Parasitol Res 111: 2325–2328.
Walker JB, Keirans JE, Horak IG, 2000. The Genus Rhipicephalus (Acari, Ixodidae): A Guide to the Brown Ticks of the World. Cambridge, England: Cambridge University Press.
Nava S et al. 2018. Rhipicephalus sanguineus (Latreille, 1806): neotype designation, morphological re-description of all parasitic stages and molecular characterization. Ticks Tick Borne Dis 9: 1573–1585.
Humair PF, Douet V, Moran Cadenas F, Schouls LM, Van De Pol I, Gern L, 2007. Molecular identification of bloodmeal source in Ixodes ricinus ticks using 12S rDNA as a genetic marker. J Med Entomol 44: 869–880.
Regnery RL, Spruill CL, Plikaytis B, 1991. Genotypic identification of rickettsiae and estimation of intraspecies sequence divergence for portions of two rickettsial genes. J Bacteriol 173: 1576–1589.
Bates D, Maechler M, Bolker B, Walker S, 2015. Fitting linear mixed-effects models using lme4. J Stat Softw 67: 1–48.
Zeileis A, 2004. Econometric computing with HC and HAC covariance matrix estimators. J Stat Softw 11: 1–17.
Venables WN, Ripley BD, 2002. Modern Applied Statistics with S, 4th edition. New York, NY: Springer.
Cançado PH, Piranda EM, Mourão GM, Faccini JL, 2008. Spatial distribution and impact of cattle-raising on ticks in the Pantanal region of Brazil by using the CO(2) tick trap. Parasitol Res 103: 371–377.
Field-Cortazares J, Escárcega-Ávila AM, López-Valencia G, Barreras-Serrano A, Tinoco-Gracia L, 2015. Seroprevalencia y factores de riesgo asociados a riquetsiosis (Rickettsia rickettsii) en humanos de Ensenada, Baja California, México. Gac Méd Méx 151: 42–46.
Tinoco-Gracia L et al. 2009. Diagnostico Serologico y Molecular de un Brote de Riquetsiosis (Rickettsia rickettsii) en Perros y un Humano en la Cuidad de Mexicali, Baja California. XXXIV Congreso Anual de Infectologia y Microbiologia Clinica, October 7–10, 2009, Guadalajara, Mexico.
Tinoco-Gracia L, Hori-Oshima S, Medina-Basulto G, Renteria-Evangelista T, Barreras-Serrano A, Lopez-Valencia G, Cueto-Gonzalez S, Romano-Osuna M, Garcia-Prieto B, 2009. Prevalencia y Factores de Riesgo de Riquetsiosis (Rickettsia rickettsii) en Perros en la Zona Urbana de Mexicali, Baja California. X Congreso Internacional COMVEPE BC-IICV, UABC, August 13–15, 2009, Tijuana, Mexico.
Tinoco-Gracia L, Hori-Oshima S, Medina-Basulto G, Renteria-Evangelista T, Barreras-Serrano A, Lopez-Valencia G, Cueto-Gonzalez S, Romano-Osuna M, Garcia-Prieto B, 2009. Prevalencia de Riquetsiosis (Rickettsia rickettsii) en Perros Asociada al Grado de Marginilidad en la Zona Urbana de Mexicali, Baja California. XIV Congreso Veterinario de Leon, September 2–5, 2009, Leon Mexico.
Romano-Osuna M, Tinoco-Gracia L, Hori-Oshima S, Medina-Basulto G, Rentería-Evangelista T, Barreras SA, López-Valencia G, García-Prieto B, 2009. Prevalencia de Riquetsiosis (Rickettsia rickettsii) en Perros Asociada al Sexo, Talla, Edad y Pelaje de la Zona Rural de Mexicali, Baja California, México. Segundo Congreso Latinamericano de Patologia Clinica Veterinaria, October 27–29, 2009, Mexico City, Mexico.
La Scola B, Raoult D, 1997. Laboratory diagnosis of rickettsioses: current approaches to diagnosis of old and new rickettsial diseases. J Clin Microbiol 35: 2715–2727.
Kaplan JE, Schonberger LB, 1986. The sensitivity of various serologic tests in the diagnosis of Rocky Mountain spotted fever. Am J Trop Med Hyg 35: 840–844.
Greene C, Kidd LB, Breitschwerdt E, 2012. Rocky Mountain and Mediterranean spotted fevers, cat-flea typhuslike illness, rickettsialpox, and typhus. Greene C, ed. Infectious Diseases of the Dog and Cat. St. Louis, MO: Elsevier, 259–270.
Linnemannn CC Jr., Schaeffer AE, Burgdorfer W, Hutchinson L, Philip RN, 1980. Rocky Mountain spotted fever in Clermont County, Ohio. II. Distribution of population and infected ticks in an endemic area. Am J Epidemiol 111: 31–36.
Demma LJ et al. 2005. Rocky Mountain spotted fever from an unexpected tick vector in Arizona. N Engl J Med 353: 587–594.
Tinoco Gracia L, Jácome-Ibarra M, Mattar-Lopez R, Flores-Duenas C, Guzman-Trejo J, Gómez-Castellanos P, Escárcega-Avila A, Montano-Marquez E, 2015. News of the rickettsiosis in Mexico. Biomed J (Suppl 1): 19–24.
Harris EK, Verhoeve VI, Banajee KH, Macaluso JA, Azad AF, Macaluso KR, 2017. Comparative vertical transmission of Rickettsia by Dermacentor variabilis and Amblyomma maculatum. Ticks Tick Borne Dis 8: 598–604.
Hernandez-Milán N, 2014. Risk Factors Associated to Rocky Mountain Spotted Fever: A Case-Control Study. Presented at U.S.-Mexico Border Binational Infectious Disease Conference, June 10–12, 2014, El Paso Convention Center, El Paso, TX.
Rechav Y, 1979. Migration and dispersal patterns of three African ticks (Acari: Ixodidae) under field conditions. J Med Entomol 16: 150–163.
McQuiston J, Guerra M, Watts M, Lawaczeck E, Levy C, Nicholson W, Adjemian J, Swerdlow D, 2011. Evidence of exposure to spotted fever group rickettsiae among Arizona dogs outside a previously documented outbreak area. Zoonoses Public Health 58: 85–92.
Álvarez-Hernández G, 2010. La fiebre manchada de las Montañas Rocosas, una epidemia olvidada. Salud Pública Méx 52: 1–3.
CDC, 2019. Rocky Mountain Spotted Fever–Statistics and Epidemiology. Available at: https://www.cdc.gov/rmsf/stats/index.html. Accessed April 22, 2019.
Nicholson WL, Allen KE, McQuiston JH, Breitschwerdt EB, Little SE, 2010. The increasing recognition of rickettsial pathogens in dogs and people. Trends Parasitol 26: 205–212.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 1251 | 734 | 127 |
Full Text Views | 1193 | 27 | 7 |
PDF Downloads | 495 | 29 | 7 |