Wilson LB, Chowning WM, 1904. Studies in Piroplasma hominis. (Spotted fever or ātick feverā of the Rocky Mountains). J Infect Dis 1: 31ā57.
Philip RN, 2000. Rocky Mountain Spotted Fever in Western Montana: Anatomy of a Pestilence. Hamilton, MT: Bitter Root Valley Historical Society, 55ā69.
Maxey EE, 1899. Some observations on the so-called spotted fever of Idaho. Med Sentinel 7: 432ā438.
Spencer WO, 1907. Mountain or spotted fever, as seen in Idaho and eastern Oregon. Med Sentinel 15: 532ā537.
Ricketts HT, 1909. Some aspects of Rocky Mountain spotted fever as shown by recent investigations. Med Record 76: 843ā855.
Parker RR, Spencer RR, 1930. Results of four years' human vaccination. U.S. Publ Hlth Serv Hyg Lab Bull 154: 72ā103.
Topping NH, Dyer RE, 1940. A highly virulent strain of Rocky Mountain fever virus isolated in the eastern United States. Pub Hlth Rep 55: 728ā731.
Brigham GD, Watt J, 1940. Highly virulent strains of Rocky Mountain spotted fever virus isolated from ticks (D. variabilis) in Georgia. Pub Hlth Rep 55: 2125ā2126.
Topping NH, 1941. A strain of Rocky Mountain spotted fever virus of low virulence isolated in the western United States. Pub Hlth Rep 56: 2041ā2043.
Parker RR, Pickens EG, Lackman DB, Bell EJ, Thrailkill FB, 1951. Isolation and characterization of Rocky Mountain spotted fever rickettsiae from the rabbit tick Haemaphysalis leporis-palustris Packard. Pub Hlth Rep 66: 455ā463.
Parker RR, Bell JF, Chalgren WS, Thrailkill FB, McKee MT, 1952. The recovery and isolation of Rocky Mountain spotted fever and tularemia from ticks in the eastern United States. J Infect Dis 91: 231ā237.
Price WH, 1953. The epidemiology of Rocky Mountain spotted fever. I. The characterization of strain virulence of Rickettsia rickettsii. Am J Hyg 1953: 248ā268.
Price WH, 1954. Variations in virulence of Rickettsia rickettsii under natural and experimental conditions. Hartman FW, Horsfall FL Jr, Kidd JG, eds. Dynamics of Virus and Rickettsial Infections. New York, NY: Blakiston Co., Inc., 164ā183.
Philip RN, Casper EA, Burgdorfer W, Gerloff RK, Hughes LE, Bell EJ, 1978. Serologic typing of rickettsiae of the spotted fever group by microimmunofluorescence. J Immunol 121: 1961ā1968.
Anacker RL, Philip RN, Williams JC, List RH, Mann RE, 1984. Biochemical and immunochemical analysis of Rickettsia rickettsii strains of various degrees of virulence. Infect Immun 44: 559ā564.
Anacker RL, List RH, Mann RE, Wiedbrauk DL, 1986. Antigenic heterogeneity in high- and low-virulence strains of Rickettsia rickettsii revealed by monoclonal antibodies. Infect Immun 51: 653ā660.
Eremeeva ME, Klemt RM, Santucci-Domotor LA, Silverman DJ, Dasch GA, 2003. Genetic analysis of isolates of Rickettsia rickettsii that differ in virulence. Ann N Y Acad Sci 990: 717ā722.
Eremeeva ME, Bosserman E, Zambrano M, Demma L, Dasch GA, 2006. Molecular typing of novel Rickettsia rickettsii isolates from Arizona. Ann N Y Acad Sci 1078: 573ā577.
Karpathy SE, Dasch GA, Eremeeva ME, 2007. Molecular typing of isolates of Rickettsia rickettsii by use of DNA sequencing of variable intergenic regions. J Clin Microbiol 45: 2545ā2553.
Eremeeva ME, Dasch GA, 2009. Closing the gap between genotype and phenotype in Rickettsia rickettsii. Ann N Y Acad Sci 1166: 12ā26.
Eremeeva ME, Zambano ML, Anaya L, Beati L, Karpathy SE, Santos-Silva MM, Salceda B, MacBeth D, Olguin H, Dasch GA, Aranda CA, 2011. Rickettsia rickettsii in Rhipicephalus ticks, Mexicali, Mexico. J Med Entomol 48: 418ā421.
Paddock CD, Greer PW, Ferebee TL, Singleton J Jr, McKechnie DB, Treadwell TA, Krebs JW, Clarke MJ, Holman RC, Olson JG, Childs JE, Zaki SR, 1999. Hidden mortality attributable to Rocky Mountain spotted fever: immunohistochemical detection of fatal, serologically unconfirmed disease. J Infect Dis 179: 1469ā1476.
Paddock CD, Holman RC, Krebs JW, Childs JE, 2002. Assessing the magnitude of fatal Rocky Mountain spotted fever in the United States: comparison of two national data sources. Am J Trop Med Hyg 67: 349ā354.
Dahlgren FS, Holman RC, Paddock CD, Callinan LS, McQuiston JH, 2012. Fatal Rocky Mountain spotted fever in the United States, 1999ā2007. Am J Trop Med Hyg 86: 713ā719.
van Beers EH, Joose SA, Ligtenberg MJ, Fles R, Hogervost FB, Verhoef S, Nederlof PM, 2006. A multiplex PCR predictor for aCGH success of FFPE samples. Br J Cancer 94: 333ā337.
Murdoch DR, Anderson TP, Beynon KA, Chua A, Fleming AM, Laing RT, Town GI, Mills GD, Chambers ST, Jennings LC, 2003. Evaluation of a PCR assay for detection of Streptococcus pneumoniae in respiratory and nonrespiratory samples from adults with community-acquired pneumonia. J Clin Microbiol 41: 63ā66.
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: 1083ā1085.
Kato CY, Chung IH, Robinson LK, Austin AL, Dasch GA, Massung RF, 2013. Assessment of real-time PCR assay for detection of Rickettsia spp. and Rickettsia rickettsii in banked clinical samples. J Clin Microbiol 51: 314ā317.
Fournier PE, Zhu Y, Ogata H, Raoult D, 2004. Use of highly variable intergenic spacer sequences for multispacer typing of Rickettsia conorii strains. J Clin Microbiol 42: 5757ā5766.
Tamura K, Peterson D, Stecher G, Nei M, Kumar S, 2011. MEGA5: molecular evolutionary genetics analysis using maximum likelihood, evolutionary distance, and maximum parsimony methods. Mol Biol Evol 28: 2731ā2739.
Tamura K, Nei M, 1993. Estimation of the number of nucleotide substitutions in the control region of mitochondrial DNA in humans and chimpanzees. Mol Biol Evol 10: 512ā526.
Cox HR, 1941. Cultivation of rickettsiae of the Rocky Mountain spotted fever, typhus and Q fever groups in the embryonic tissues of developing chicks. Science 94: 399ā403.
Paddock CD, 2006. Rickettsia parkeri as a paradigm for multiple causes of tick-borne rickettsioses in the Western Hemisphere. Ann N Y Acad Sci 1063: 315ā326.
Walker DH, 1990. The role of host factors in the severity of spotted fever and typhus rickettsioses. Ann N Y Acad Sci 590: 10ā19.
Price WH, 1954. The epidemiology of Rocky Mountain spotted fever. II. Studies on the biological survival mechanism of Rickettsia rickettsii. Am J Hyg 60: 292ā319.
Fuentes L, Calderón A, Hun L, 1985. Isolation and identification of Rickettsia rickettsii from the rabbit tick (Haemaphysalis leporispalustris) in the Atlantic zone of Costa Rica. Am J Trop Med Hyg 34: 564ā567.
Hun L, CortĆ©s X, Taylor L, 2008. Molecular characterization of Rickettsia rickettsii isolated from human clinical samples and from the rabbit tick Haemaphysalis leporispalustris collected at different geographic zones in Costa Rica. Am J Trop Med Hyg 79: 899ā902.
Reimann HA, Ulrich HL, Fisher L, 1932. Differential diagnosis between typhus and spotted fever. Report of a case and the isolation of a new mild type of spotted fever virus. J Am Med Assoc 98: 1875ā1879.
Furman DP, Loomis EC, 1984. The ticks of California (Acari: Ixodidae). Bull Calif Insect Survey 25: 1ā239.
Ogrzewalska M, Santos F, Souza E, Nascimento E, Angerami R, Labruna M, 2011. Molecular characterization of rickettsial isolates from spotted fever fatal cases in the state of SĆ£o Paulo, Brazil. Biomedica 31 (Suppl): 98ā99.
Szabó MPJ, Pinter A, Labruna MB, 2013. Ecology, biology and distribution of spotted-fever tick vectors in Brazil. Frontiers Cell Infect Microbiol 3: 1ā9.
Topping NH, 1941. Rocky Mountain spotted fever. A note on some aspects of its epidemiology. Pub Hlth Rep 56: 1699ā1703.
Hattwick MA, O'Brien RJ, Hanson B, 1976. Rocky Mountain spotted fever: epidemiology of an increasing problem. Ann Intern Med 84: 732ā739.
Dalton MJ, Clarke MJ, Holman RC, Krebs JW, Fishbein DB, Olson JG, Childs JE, 1995. National surveillance for Rocky Mountain spotted fever, 1981ā1992: epidemiologic summary and evaluation of risk factors for fatal outcome. Am J Trop Med Hyg 52: 405ā413.
Walker DH, Kirkman HN, Wittenberg PH, 1981. Genetic states possibly associated with enhanced severity of Rocky Mountain spotted fever. Burgdorfer W, Anacker RL, eds. Rickettsiae and Rickettsial Diseases. New York, NY: Academic Press, Inc., 621ā630.
MartĆn-FarfĆ”n A, JuĆ”rez-FernĆ”ndez C, Calbo-Torrecillas F, Porra-Ballesteros J, DĆaz-Recio M, BermĆŗdez-Recio F, 1985. Estudio clĆnico-epidemiológico de 164 casos de fiebre botonosa. Rev Clin Esp 176: 333ā339.
de Sousa R, FranƧa A, Dória Nòbrega S, Belo A, Amaro M, Abreu T, PoƧas J, ProenƧa P, Vaz J, Torgal J, Bacellar F, Ismail N, Walker DH, 2008. Host- and microbe-related risk factors for and pathophysiology of fatal Rickettsia conorii infection in Portuguese patients. J Infect Dis 198: 576ā585.
Srinivasan M, Sedmak D, Jewell S, 2002. Effect of fixatives and tissue processing on the content and integrity of nucleic acids. Am J Pathol 161: 1961ā1971.
Del Fio FS, Junqueira FM, Rocha MC, de Toledo Filho SB, 2010. A febre maculosa no Brasil. Rev Panam Salud Publica 27: 461ā466.
Angerami RN, CĆ¢mara M, Pacola MR, Rezende RC, Duarte RM, Nascimento EM, Colombo S, Santos FC, Leite RM, Katz G, Silva LJ, 2012. Features of Brazilian spotted fever in two different endemic areas in Brazil. Ticks Tick-borne Dis 3: 345ā347.
McCullough GT, 1902. Spotted fever. Med Sentinel 10: 225ā228.
Hampton BC, Eubank HG, 1938. Rocky Mountain spotted fever. Geographical and seasonal prevalence, case fatality, and preventive measures. Pub Hlth Rep 53: 984ā990.
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Rocky Mountain spotted fever (RMSF), a tick-borne zoonosis caused by Rickettsia rickettsii, is among the deadliest of all infectious diseases. To identify the distribution of various genotypes of R. rickettsii associated with fatal RMSF, we applied molecular typing methods to samples of DNA extracted from formalin-fixed, paraffin-embedded tissue specimens obtained at autopsy from 103 case-patients from seven countries who died of RMSF. Complete sequences of one or more intergenic regions were amplified from tissues of 30 (29%) case-patients and revealed a distribution of genotypes consisting of four distinct clades, including the Hlp clade, regarded previously as a non-pathogenic strain of R. rickettsii. Distinct phylogeographic patterns were identified when composite case-patient and reference strain data were mapped to the state and country of origin. The phylogeography of R. rickettsii is likely determined by ecological and environmental factors that exist independently of the distribution of a particular tick vector.
Authors' addresses: Christopher D. Paddock, F. Scott Dahlgren, and Sandor E. Karpathy, Rickettsial Zoonoses Branch, Centers for Disease Control and Prevention, Atlanta, GA, E-mails: cdp9@cdc.gov, iot0@cdc.gov, and evu2@cdc.gov. Amy M. Denison, Lindy Liu, and Brigid C. Bollweg, Infectious Diseases Pathology Branch, Centers for Disease Control and Prevention, Atlanta, GA, E-mails: crk6@cdc.gov, fuz3@cdc.gov, and fvt6@cdc.gov. R. Ryan Lash, Traveler's Health Branch, Centers for Disease Control and Prevention, Atlanta, GA, E-mail: gnk6@cdc.gov. Cristina T. Kanamura, Fabiana C. Pereira dos Santos, and Roosecelis Brasil Martines, Instituto Adolfo Lutz, Núcelo de Anatomia Patológica, São Paulo, São Paulo, Brazil, E-mails: criskanamura@yahoo.com.br, fabianacp@yahoo.com, and roosebrasil@hotmail.com. Rodrigo N. Angerami, Secretaria Municipal de Saúde de Campinas, Departamento de Vigilância em Saúde, Campinas, São Paulo, Brazil, E-mail: rodrigo.angerami@gmail.com.
Wilson LB, Chowning WM, 1904. Studies in Piroplasma hominis. (Spotted fever or ātick feverā of the Rocky Mountains). J Infect Dis 1: 31ā57.
Philip RN, 2000. Rocky Mountain Spotted Fever in Western Montana: Anatomy of a Pestilence. Hamilton, MT: Bitter Root Valley Historical Society, 55ā69.
Maxey EE, 1899. Some observations on the so-called spotted fever of Idaho. Med Sentinel 7: 432ā438.
Spencer WO, 1907. Mountain or spotted fever, as seen in Idaho and eastern Oregon. Med Sentinel 15: 532ā537.
Ricketts HT, 1909. Some aspects of Rocky Mountain spotted fever as shown by recent investigations. Med Record 76: 843ā855.
Parker RR, Spencer RR, 1930. Results of four years' human vaccination. U.S. Publ Hlth Serv Hyg Lab Bull 154: 72ā103.
Topping NH, Dyer RE, 1940. A highly virulent strain of Rocky Mountain fever virus isolated in the eastern United States. Pub Hlth Rep 55: 728ā731.
Brigham GD, Watt J, 1940. Highly virulent strains of Rocky Mountain spotted fever virus isolated from ticks (D. variabilis) in Georgia. Pub Hlth Rep 55: 2125ā2126.
Topping NH, 1941. A strain of Rocky Mountain spotted fever virus of low virulence isolated in the western United States. Pub Hlth Rep 56: 2041ā2043.
Parker RR, Pickens EG, Lackman DB, Bell EJ, Thrailkill FB, 1951. Isolation and characterization of Rocky Mountain spotted fever rickettsiae from the rabbit tick Haemaphysalis leporis-palustris Packard. Pub Hlth Rep 66: 455ā463.
Parker RR, Bell JF, Chalgren WS, Thrailkill FB, McKee MT, 1952. The recovery and isolation of Rocky Mountain spotted fever and tularemia from ticks in the eastern United States. J Infect Dis 91: 231ā237.
Price WH, 1953. The epidemiology of Rocky Mountain spotted fever. I. The characterization of strain virulence of Rickettsia rickettsii. Am J Hyg 1953: 248ā268.
Price WH, 1954. Variations in virulence of Rickettsia rickettsii under natural and experimental conditions. Hartman FW, Horsfall FL Jr, Kidd JG, eds. Dynamics of Virus and Rickettsial Infections. New York, NY: Blakiston Co., Inc., 164ā183.
Philip RN, Casper EA, Burgdorfer W, Gerloff RK, Hughes LE, Bell EJ, 1978. Serologic typing of rickettsiae of the spotted fever group by microimmunofluorescence. J Immunol 121: 1961ā1968.
Anacker RL, Philip RN, Williams JC, List RH, Mann RE, 1984. Biochemical and immunochemical analysis of Rickettsia rickettsii strains of various degrees of virulence. Infect Immun 44: 559ā564.
Anacker RL, List RH, Mann RE, Wiedbrauk DL, 1986. Antigenic heterogeneity in high- and low-virulence strains of Rickettsia rickettsii revealed by monoclonal antibodies. Infect Immun 51: 653ā660.
Eremeeva ME, Klemt RM, Santucci-Domotor LA, Silverman DJ, Dasch GA, 2003. Genetic analysis of isolates of Rickettsia rickettsii that differ in virulence. Ann N Y Acad Sci 990: 717ā722.
Eremeeva ME, Bosserman E, Zambrano M, Demma L, Dasch GA, 2006. Molecular typing of novel Rickettsia rickettsii isolates from Arizona. Ann N Y Acad Sci 1078: 573ā577.
Karpathy SE, Dasch GA, Eremeeva ME, 2007. Molecular typing of isolates of Rickettsia rickettsii by use of DNA sequencing of variable intergenic regions. J Clin Microbiol 45: 2545ā2553.
Eremeeva ME, Dasch GA, 2009. Closing the gap between genotype and phenotype in Rickettsia rickettsii. Ann N Y Acad Sci 1166: 12ā26.
Eremeeva ME, Zambano ML, Anaya L, Beati L, Karpathy SE, Santos-Silva MM, Salceda B, MacBeth D, Olguin H, Dasch GA, Aranda CA, 2011. Rickettsia rickettsii in Rhipicephalus ticks, Mexicali, Mexico. J Med Entomol 48: 418ā421.
Paddock CD, Greer PW, Ferebee TL, Singleton J Jr, McKechnie DB, Treadwell TA, Krebs JW, Clarke MJ, Holman RC, Olson JG, Childs JE, Zaki SR, 1999. Hidden mortality attributable to Rocky Mountain spotted fever: immunohistochemical detection of fatal, serologically unconfirmed disease. J Infect Dis 179: 1469ā1476.
Paddock CD, Holman RC, Krebs JW, Childs JE, 2002. Assessing the magnitude of fatal Rocky Mountain spotted fever in the United States: comparison of two national data sources. Am J Trop Med Hyg 67: 349ā354.
Dahlgren FS, Holman RC, Paddock CD, Callinan LS, McQuiston JH, 2012. Fatal Rocky Mountain spotted fever in the United States, 1999ā2007. Am J Trop Med Hyg 86: 713ā719.
van Beers EH, Joose SA, Ligtenberg MJ, Fles R, Hogervost FB, Verhoef S, Nederlof PM, 2006. A multiplex PCR predictor for aCGH success of FFPE samples. Br J Cancer 94: 333ā337.
Murdoch DR, Anderson TP, Beynon KA, Chua A, Fleming AM, Laing RT, Town GI, Mills GD, Chambers ST, Jennings LC, 2003. Evaluation of a PCR assay for detection of Streptococcus pneumoniae in respiratory and nonrespiratory samples from adults with community-acquired pneumonia. J Clin Microbiol 41: 63ā66.
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: 1083ā1085.
Kato CY, Chung IH, Robinson LK, Austin AL, Dasch GA, Massung RF, 2013. Assessment of real-time PCR assay for detection of Rickettsia spp. and Rickettsia rickettsii in banked clinical samples. J Clin Microbiol 51: 314ā317.
Fournier PE, Zhu Y, Ogata H, Raoult D, 2004. Use of highly variable intergenic spacer sequences for multispacer typing of Rickettsia conorii strains. J Clin Microbiol 42: 5757ā5766.
Tamura K, Peterson D, Stecher G, Nei M, Kumar S, 2011. MEGA5: molecular evolutionary genetics analysis using maximum likelihood, evolutionary distance, and maximum parsimony methods. Mol Biol Evol 28: 2731ā2739.
Tamura K, Nei M, 1993. Estimation of the number of nucleotide substitutions in the control region of mitochondrial DNA in humans and chimpanzees. Mol Biol Evol 10: 512ā526.
Cox HR, 1941. Cultivation of rickettsiae of the Rocky Mountain spotted fever, typhus and Q fever groups in the embryonic tissues of developing chicks. Science 94: 399ā403.
Paddock CD, 2006. Rickettsia parkeri as a paradigm for multiple causes of tick-borne rickettsioses in the Western Hemisphere. Ann N Y Acad Sci 1063: 315ā326.
Walker DH, 1990. The role of host factors in the severity of spotted fever and typhus rickettsioses. Ann N Y Acad Sci 590: 10ā19.
Price WH, 1954. The epidemiology of Rocky Mountain spotted fever. II. Studies on the biological survival mechanism of Rickettsia rickettsii. Am J Hyg 60: 292ā319.
Fuentes L, Calderón A, Hun L, 1985. Isolation and identification of Rickettsia rickettsii from the rabbit tick (Haemaphysalis leporispalustris) in the Atlantic zone of Costa Rica. Am J Trop Med Hyg 34: 564ā567.
Hun L, CortĆ©s X, Taylor L, 2008. Molecular characterization of Rickettsia rickettsii isolated from human clinical samples and from the rabbit tick Haemaphysalis leporispalustris collected at different geographic zones in Costa Rica. Am J Trop Med Hyg 79: 899ā902.
Reimann HA, Ulrich HL, Fisher L, 1932. Differential diagnosis between typhus and spotted fever. Report of a case and the isolation of a new mild type of spotted fever virus. J Am Med Assoc 98: 1875ā1879.
Furman DP, Loomis EC, 1984. The ticks of California (Acari: Ixodidae). Bull Calif Insect Survey 25: 1ā239.
Ogrzewalska M, Santos F, Souza E, Nascimento E, Angerami R, Labruna M, 2011. Molecular characterization of rickettsial isolates from spotted fever fatal cases in the state of SĆ£o Paulo, Brazil. Biomedica 31 (Suppl): 98ā99.
Szabó MPJ, Pinter A, Labruna MB, 2013. Ecology, biology and distribution of spotted-fever tick vectors in Brazil. Frontiers Cell Infect Microbiol 3: 1ā9.
Topping NH, 1941. Rocky Mountain spotted fever. A note on some aspects of its epidemiology. Pub Hlth Rep 56: 1699ā1703.
Hattwick MA, O'Brien RJ, Hanson B, 1976. Rocky Mountain spotted fever: epidemiology of an increasing problem. Ann Intern Med 84: 732ā739.
Dalton MJ, Clarke MJ, Holman RC, Krebs JW, Fishbein DB, Olson JG, Childs JE, 1995. National surveillance for Rocky Mountain spotted fever, 1981ā1992: epidemiologic summary and evaluation of risk factors for fatal outcome. Am J Trop Med Hyg 52: 405ā413.
Walker DH, Kirkman HN, Wittenberg PH, 1981. Genetic states possibly associated with enhanced severity of Rocky Mountain spotted fever. Burgdorfer W, Anacker RL, eds. Rickettsiae and Rickettsial Diseases. New York, NY: Academic Press, Inc., 621ā630.
MartĆn-FarfĆ”n A, JuĆ”rez-FernĆ”ndez C, Calbo-Torrecillas F, Porra-Ballesteros J, DĆaz-Recio M, BermĆŗdez-Recio F, 1985. Estudio clĆnico-epidemiológico de 164 casos de fiebre botonosa. Rev Clin Esp 176: 333ā339.
de Sousa R, FranƧa A, Dória Nòbrega S, Belo A, Amaro M, Abreu T, PoƧas J, ProenƧa P, Vaz J, Torgal J, Bacellar F, Ismail N, Walker DH, 2008. Host- and microbe-related risk factors for and pathophysiology of fatal Rickettsia conorii infection in Portuguese patients. J Infect Dis 198: 576ā585.
Srinivasan M, Sedmak D, Jewell S, 2002. Effect of fixatives and tissue processing on the content and integrity of nucleic acids. Am J Pathol 161: 1961ā1971.
Del Fio FS, Junqueira FM, Rocha MC, de Toledo Filho SB, 2010. A febre maculosa no Brasil. Rev Panam Salud Publica 27: 461ā466.
Angerami RN, CĆ¢mara M, Pacola MR, Rezende RC, Duarte RM, Nascimento EM, Colombo S, Santos FC, Leite RM, Katz G, Silva LJ, 2012. Features of Brazilian spotted fever in two different endemic areas in Brazil. Ticks Tick-borne Dis 3: 345ā347.
McCullough GT, 1902. Spotted fever. Med Sentinel 10: 225ā228.
Hampton BC, Eubank HG, 1938. Rocky Mountain spotted fever. Geographical and seasonal prevalence, case fatality, and preventive measures. Pub Hlth Rep 53: 984ā990.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 95 | 95 | 23 |
Full Text Views | 558 | 145 | 1 |
PDF Downloads | 176 | 21 | 1 |