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abstractpubmed· Abstract 2016· item PMID:27192498

Possible Case of Novel Spotted Fever Group Rickettsiosis in Traveler Returning to Japan from India. A 60-year-old woman experienced fever, headache, rash, and altered vision after returning to Japan from India. Testing detected elevated antibody titers to spotted fever group rickettsia; PCR on blood yielded positive results for the rickettsial outer membrane protein A gene. We isolated a unique rickettsial agent and performed a full-genome analysis.