More about human monocytotropic ehrlichiosis in Brazil: serological evidence of nine new cases



Título del documento: More about human monocytotropic ehrlichiosis in Brazil: serological evidence of nine new cases
Revista: The brazilian journal of infectious diseases
Base de datos: PERIÓDICA
Número de sistema: 000291031
ISSN: 1413-8670
Autores: 1
2

Instituciones: 1Universidade Federal de Minas Gerais, Faculdade de Medicina, Belo Horizonte, Minas Gerais. Brasil
2Hospital Monte Sinai, Juiz de Fora, Minas Gerais. Brasil
Año:
Periodo: Feb
Volumen: 10
Número: 1
Paginación: 7-10
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Caso clínico
Resumen en inglés 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
Disciplinas: Medicina,
Biología
Palabras clave: Diagnóstico,
Biología celular,
Inmunología,
Quelicerados,
Ehrlichia chaffeensis,
Ehrliquiosis monocitotrópica humana
Keyword: Medicine,
Biology,
Diagnosis,
Cell biology,
Chelicerata,
Immunology,
Ehrlichia chaffeensis,
Monocytotropic ehrlichiosis
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