A resident of the Minneapolis metro area became ill at the beginning of January. The patient had traveled to Brazil before the onset of symptoms.

A view of the city skyline on January 30, 2019 in Minneapolis, Minnesota. – Bitter cold with temperatures lower than Antarctica gripped the American Midwest on Wednesday, grounding flights, closing schools and businesses and raising frostbite and hypothermia fears for homeless residents. (Photo by STEPHEN MATUREN / AFP) (Photo credit should read STEPHEN MATUREN/AFP via Getty Images)