Niteroi (Rio) is one of the people who has the best health organizations. It is a reference center. A diagnostic test is the skin smear done on elbows and earlobes. An interesting observation reiterates the low incidence of the entity in Rio Grande do Norte, is the de Magalhães in 1900, where it refers to the entity found no ground for his evolución5. It is considered rare but more common on the coast in the backland.