Ehrlichiosis with pancytopenia and ARDS.
As illustrated by the case described in this report, the possibility of ehrlichiosis should be considered in the differential diagnosis of sulfasalazine toxicity/drug fever and other febrile illnesses presenting with pancytopenia/leukopenia and pulmonary abnormalities, when patients have been exposed to known tick-infested areas. Furthermore, the possibility of delayed serologic confirmation of Ehrlichia infection should be integrated into the diagnostic process as well.
Paparone
P W
PW
Shore Memorial Hospital, USA.
Ljubich
P
P
Rosman
G A
GA
Nazha
N T
NT
D000328:Adult; D000907:Antibodies, Bacterial / Q000097:blood; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000627:therapeutic use; D018469:Ehrlichia chaffeensis / Q000276:immunology / Q000302:isolation & purification*; D016873:Ehrlichiosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D010198:Pancytopenia / Q000150:complications / Q000175:diagnosis*; D012128:Respiratory Distress Syndrome / Q000150:complications / Q000175:diagnosis*; D012698:Serologic Tests
D000907:Antibodies, Bacterial; D004318:Doxycycline