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In Brazil, Brazilian spotted fever was once considered the only tick-borne rickettsial disease. We report eschar-associated rickettsial disease that occurred after a tick bite. The etiologic agent is most related to Rickettsia parkeri, R. africae, and R. sibirica and probably widely distributed from Sao Paulo to Bahia in the Atlantic Forest.

Citation

Nanci Silva, Marina E Eremeeva, Tatiana Rozental, Guilherme S Ribeiro, Christopher D Paddock, Eduardo Antonio G Ramos, Alexsandra R M Favacho, Mitermayer G Reis, Gregory A Dasch, Elba R S de Lemos, Albert I Ko. Eschar-associated spotted fever rickettsiosis, Bahia, Brazil. Emerging infectious diseases. 2011 Feb;17(2):275-8

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PMID: 21291605

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