The fact that the disease entity with the geographic name of Rocky Mountain spotted fever is appearing with greater frequency in the East is not as well known as the many recent reports would indicate. It was only in 1930 that research workers of the Public Health Service discovered that this disease was present in the states of the Atlantic seaboard. Since then many reports have appeared in the literature describing the epidemiology and clinical manifestations as they appear in the East. Rumreich,1 Richards,2 Crutcher,3 Litterer,4 Caton,5 Montz,6 Parker,7 Baker,8 Pincoffs and Shaw,9 Carey and Duncan,10 Hampton and Eubank,11 Flippen12 and many other investigators have conclusively shown that the presence of Rocky Mountain spotted fever in the East is on the increase and that the type as seen in the Rocky Mountain region is identical with that seen
Cohen MH. AN UNUSUAL CASE OF ROCKY MOUNTAIN SPOTTED FEVER IN SOUTHEASTERN PENNSYLVANIA. JAMA. 1940;115(17):1441–1442. doi:https://doi.org/10.1001/jama.1940.72810430001011
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