title: A case report of human granulocytic anaplasmosis (ehrlichiosis) in pregnancy and a literature review of tick-borne diseases in the United States during pregnancy.
abstract: There is paucity of data regarding tick-borne diseases during pregnancy. Here, we report a case of human granulocytic anaplasmosis during pregnancy with successful treatment and a favorable neonatal outcome. We also review diagnosis, treatment, and outcomes of published case reports from 1983 to 2010 of human granulocytic anaplasmosis, Lyme disease, babesiosis, and human monocytic ehrlichiosis in the United States.
  
  
  BACKGROUND
  Obstetricians and Gynecologists and Family Physicians.
  
  
  OBJECTIVE
  After the completing the CME activity, physicians should be better able to diagnose tick-born diseases, implement best treatment options during the pregnancy, and assess the neonatal outcomes.
authors.affiliation: Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN, USA.
authors.forename: Neena
authors.initials: N
authors.lastname: Qasba
authors.forename: Amirhoushang A
authors.initials: AA
authors.lastname: Shamshirsaz
authors.forename: Henry M
authors.initials: HM
authors.lastname: Feder
authors.forename: Winston A
authors.initials: WA
authors.lastname: Campbell
authors.forename: James F
authors.initials: JF
authors.lastname: Egan
authors.forename: Alireza A
authors.initials: AA
authors.lastname: Shamshirsaz
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016873:Ehrlichiosis / Q000175:diagnosis* / Q000188:drug therapy / Q000635:transmission; D005260:Female; D006801:Humans; D018445:Infectious Disease Transmission, Vertical; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000188:drug therapy; D017282:Tick-Borne Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000635:transmission; D014481:United States
chemical_list: D000900:Anti-Bacterial Agents