Human granulocytic anaplasmosis affecting the myocardium.
A case of 65-year-old male is reported who presented with myalgias, headache, and fever. He subsequently developed myocarditis and was diagnosed to have anaplasmosis on peripheral blood smear. He was treated with doxycycline for 30 days. A coronary angiogram done after recovery showed normal epicardial arteries. The case illustrates the importance of a careful examination of the peripheral smear, with a high index of clinical suspicion, which led to prompt treatment and complete recovery of the patient.
Malik
Amyn
A
University of Minnesota, Minneapolis, Minn, USA. malik016@umn.edu
Jameel
Mohammad NurulQadr
MN
Ali
Syed Sohail
SS
Mir
Sajad
S
D000328:Adult; D000712:Anaplasmosis / Q000150:complications*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016866:Bacteroidaceae Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000635:transmission; D004696:Endocarditis / Q000209:etiology / Q000469:parasitology*; D006801:Humans; D008297:Male; D001443:Prevotella melaninogenica; D015819:Substance Abuse, Intravenous / Q000150:complications*
D000900:Anti-Bacterial Agents