Simultaneous infection with Borrelia burgdorferi and human granulocytic ehrlichiosis.
A 5-year-old child with simultaneous early Lyme disease and human granulocytic ehrlichiosis (HGE) is described. Because of the shared vector, HGE and Lyme disease are increasingly identified as coinfections in tick-exposed patients. Early recognition of concurrent Lyme disease and HGE is important because amoxicillin, an antibiotic of choice for young children with early Lyme disease, is ineffective for HGE.
Moss
William J
WJ
Department of International Health, Bloomberg School of Public Health, The Johns Hopkins University, Baltimore, MD 21205, USA. wmoss@jhsph.edu
Dumler
J Stephen
JS
D000658:Amoxicillin / Q000627:therapeutic use; D041081:Anaplasma phagocytophilum / Q000302:isolation & purification; D001733:Bites and Stings; D025065:Borrelia burgdorferi / Q000302:isolation & purification* / Q000472:pathogenicity; D002675:Child, Preschool; D004318:Doxycycline / Q000627:therapeutic use; D016873:Ehrlichiosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006098:Granulocytes / Q000473:pathology; D006801:Humans; D007075:Immunoglobulin M / Q000032:analysis; D008193:Lyme Disease / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008297:Male
D007075:Immunoglobulin M; D000658:Amoxicillin; D004318:Doxycycline