Abstract
Spotted fever is a severe and emergent zoonosis caused by Rickettsia and transmitted by ticks, it can be fatal if not diagnosed and treated in the begging of clinical symptoms. The following report is the description of a case of a pediatric patient residing in a rural area in the countryside of the state of Espírito Santo, Brazil, with spotted fever presenting unfavorable evolution. The diagnosis was confirmed by the indirect immunofluorescence test after death. Considering the high lethality and prevalence of the disease in the southeastern and southern regions of Brazil, this differential diagnosis should be considered in the presence of symptomatology and epidemiology suggestive of this disease, in order to reduce the morbidity and mortality of the affected population.
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