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importation into the united states from africa of rhipicephalus simus on a boutonneuse fever patient.rhipicephalus simus koch was removed from a human upon his return to connecticut, u.s.a. from kenya, africa. this person became ill in africa, exhibited clinical manifestations of boutonneuse fever and had a significant rise (greater than or equal to 8-fold) in igm titer against spotted fever-group rickettsiae. rickettsia conorii was probably the infectious agent.19817258502
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