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.

中文翻译：

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针刺相关的落基山发现热，巴西

我们报告了巴西一名男子的落基山斑热病（RMSF）致命病例，近期没有tick叮咬或环境暴露史。他在当护士时收到了意外的针刺。护士和他的病人死亡。两种方法均通过分子方法确认为RMSF。