Journal: | The brazilian journal of infectious diseases |
Database: | PERIÓDICA |
System number: | 000291031 |
ISSN: | 1413-8670 |
Authors: | Costa, Paulo Sergio Goncalves da1 Valle, Lena Marcia de Carvalho2 Brigatte, Marco Emilio Greco, Dirceu Bartolomeu |
Institutions: | 1Universidade Federal de Minas Gerais, Faculdade de Medicina, Belo Horizonte, Minas Gerais. Brasil 2Hospital Monte Sinai, Juiz de Fora, Minas Gerais. Brasil |
Year: | 2006 |
Season: | Feb |
Volumen: | 10 |
Number: | 1 |
Pages: | 7-10 |
Country: | Brasil |
Language: | Inglés |
Document type: | Artículo |
Approach: | Caso clínico |
English abstract | Human Ehrlichia chaffeensis infections have been reported in North America, Asia and Europe, but only recently have human cases been reported in Brazil. Nine new human cases of E. chaffeensis infection diagnosed on a clinical and serological basis are reported. Serological tests were performed with indoor slides prepared with CDC stock DH-82 cells infected with E. chaffeensis (Arkansas strain). All but two patients were adults. Seven patients were male and two female. The fever duration varied from 4 to 120 days with a median of 6 days. All patients recalled previous tick attack. IgM was detected in four cases. Influenza like syndrome was the most frequent clinical form affecting five patients. Two patients had fever of unknown origin (FUO), one patient had blood culture-negative endocarditis and one had encephalitis. All patients except one recovered. Two patients were correctly treated. One patient with FUO had AIDS and unexplained pancytopenia. The occurrence of human ehrlichiosis by E. chaffeensis remains to be proved in Brazil; the cases reported here highlight the possibility of such disease occurrence in Brazil |
Disciplines: | Medicina, Biología |
Keyword: | Diagnóstico, Biología celular, Inmunología, Quelicerados, Ehrlichia chaffeensis, Ehrliquiosis monocitotrópica humana |
Keyword: | Medicine, Biology, Diagnosis, Cell biology, Chelicerata, Immunology, Ehrlichia chaffeensis, Monocytotropic ehrlichiosis |
Full text: | Texto completo (Ver HTML) |