title: Simultaneous infection with Borrelia burgdorferi and human granulocytic ehrlichiosis.
abstract: 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.
authors.affiliation: Department of International Health, Bloomberg School of Public Health, The Johns Hopkins University, Baltimore, MD 21205, USA. wmoss@jhsph.edu
authors.forename: William J
authors.initials: WJ
authors.lastname: Moss
authors.forename: J Stephen
authors.initials: JS
authors.lastname: Dumler
mesh_terms: 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
chemical_list: D007075:Immunoglobulin M; D000658:Amoxicillin; D004318:Doxycycline