Skip Navigation

This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (5)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by RABINSTEIN, A.
Right arrow Articles by EDWARDS, L.
Right arrow Search for Related Content
PubMed
Right arrow Articles by RABINSTEIN, A.
Right arrow Articles by EDWARDS, L.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Q J Med 2000; 93: 198-201
© 2000 Association of Physicians

Correspondence

Recurrent and prolonged fever in asplenic patients with human granulocytic ehrlichiosis

A. RABINSTEIN, V. TIKHOMIROV, A. KALUTA, N. GELFMANN, P. IANNINI and L. EDWARDS

Department of Medicine Department of Pathology, Danbury Hospital, Yale University School of Medicine, Danbury CT, USA

Sir,

The ehrlichioses are emerging zoonotic infections transmitted by ticks and caused by obligate intracellular organisms of the genus Ehrlichia. Two forms of human infection have been distinguished: human monocytic ehrlichiosis (HME), caused by E. chaffeensis1 and human granulocytic ehrlichiosis (HGE), caused by an organism shown to be phylogenetically similar to E. equi and E. phagocytophilia.2 The first report of human ehrlichiosis in the US was published in 1987.3 These increasingly recognized infections present a difficult diagnostic challenge as a result of their protean clinical manifestations and the absence of a reliable laboratory marker, especially in the acute stage of the disease.

Although HGE is most commonly considered in cases of brief, acute febrile illness, it can take an unusual clinical course, especially in cases of coinfection with other parasites, such as Babesia or Borrelia. The disease can also take a different course . . . [Full Text of this Article]

Notes

References


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?