The explosive growth of emerging infections during the past20 years has made it difficult to issue a call to arms aboutany pathogen with ecologic and epidemiologic features that arenot conducive to a risk of dramatic regional or global spread.Such is the case with Rocky Mountain spotted fever, which isstill one of the most virulent human infections ever identified.Nearly 100 years have elapsed since Howard T. Ricketts firstdescribed the pathogen transmitted by Montana ticks that killedup to 75 percent of the patients it infected. Despite a centuryof study, the causative bacterial agent . . . [Full Text of this Article]
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From the Division of Medical Microbiology, Department of Pathology, Johns Hopkins University School of Medicine, Baltimore (J.S.D.); and the Department of Pathology, University of Texas Medical Branch, Galveston (D.H.W.).
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