There have been a number of cases within a few miles of me over the years. One death. Usually a pet messes with a dead prairie dog or ground squirrel and brings the fleas home. Doctors here are aware of it and it isn’t usually fatal.
A couple from Santa Fe visiting NYC had it and the doctors there didn’t figure it out until one of them had legs amputated.
That’s bad. I would’ve hoped a genuine MD would’ve figured it out sooner.