[Monocytic ehrlichiosis--an emerging zoonotic disease in Israel].
Ehrlichiosis is an emerging zoonotic disease transmitted to man by ticks. Its clinical features include fever, headache, myalgia, nausea and rash. The diagnosis requires a high index of suspicion; the disease has a specific serology, and has never been reported in Israel. We describe a 52-year-old man hospitalized with fever, a diffuse rash, arthralgia and epididymitis. Skin biopsy disclosed necrotizing small vessel disease consistent with periarteritis nodosa. Acute phase serum titer for E. chaffeensis was 1:256. Fever promptly subsided following ciprofloxacin.
Zikonov
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Dept. of Internal Medicine A, B'nai Zion Medical Center.
Potasman
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D000818:Animals; D000890:Anti-Infective Agents / Q000627:therapeutic use*; D002939:Ciprofloxacin / Q000627:therapeutic use*; D018469:Ehrlichia chaffeensis; D016873:Ehrlichiosis / Q000175:diagnosis* / Q000188:drug therapy; D005334:Fever; D006801:Humans; D007557:Israel; D008297:Male; D008875:Middle Aged; D013987:Ticks; D015047:Zoonoses
D000890:Anti-Infective Agents; D002939:Ciprofloxacin