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abstractpubmed· Abstract 2020· item PMID:32187008

Needlestick-Associated Rocky Mountain Spotted Fever, Brazil. We report a fatal case of Rocky Mountain spotted fever (RMSF) in a man in Brazil without recent history of tick bites or environmental exposure. He received an accidental needlestick while working as a nurse. The nurse and his patient died. Both cases were confirmed as RMSF by molecular methods.