“…Human infection with R. felis has already been reported in the US, 66 Mexico, [67][68][69] Brazil, 36 France, 36,70 Germany, 52 Spain, 54,71 Sweden, 72 Israel, 73 South Korea, 74 Taiwan, 75 Thailand, 76 Laos, 77 Tunisia, 78,79 Egypt, 80 Australia, 81 Senegal, 82 Kenya, 83,84 and New Zealand. 85 Clinical findings for R. felis infection may be confused with infection due to other rickettsial agents like R. typhi and some members of the SFG, as well as other infectious diseases like dengue, malaria, brucellosis, leptospirosis, or even other clinical conditions like Kawasaki disease. 69,77,81,83 One example of misdiagnosis is a case reported as murine typhus diagnosed by serology in 2008, which in 2010 was confirmed by PCR as an infection by R. felis and not R. typhi, using the patient's same frozen serum.…”