Spotted fever rickettsiosis is rarely observed in solid organ transplant recipients, and all previously reported cases have been associated with tick bite months to years after transplantation. We describe a kidney transplant recipient in North Carolina, USA, who had a moderately severe Rickettsia parkeri infection develop during the immediate posttransplant period.
Keywords: Amblyomma maculatum; Gulf Coast tick; North Carolina; Rickettsia; Rickettsia parkeri; United States; bacteria; kidney transplant; rickettsiosis; ticks; vector-borne infections.