title: Fatal Monocytic Ehrlichiosis in Woman, Mexico, 2013.
abstract: Human monocytic ehrlichiosis is a febrile illness caused by Ehrlichia chaffeensis, an intracellular bacterium transmitted by ticks. In Mexico, a case of E. chaffeensis infection in an immunocompetent 31-year-old woman without recognized tick bite was fatal. This diagnosis should be considered for patients with fever, leukopenia, thrombocytopenia, and elevated liver enzyme levels.
authors.forename: Carolina G
authors.initials: CG
authors.lastname: Sosa-Gutierrez
authors.forename: Fortino
authors.initials: F
authors.lastname: Solorzano-Santos
authors.forename: David H
authors.initials: DH
authors.lastname: Walker
authors.forename: Javier
authors.initials: J
authors.lastname: Torres
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Serrano
authors.forename: Guadalupe
authors.initials: G
authors.lastname: Gordillo-Perez
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D018469:Ehrlichia chaffeensis / Q000145:classification / Q000235:genetics; D016873:Ehrlichiosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008099:Liver / Q000382:microbiology / Q000473:pathology; D008111:Liver Function Tests; D008800:Mexico
chemical_list: D000900:Anti-Bacterial Agents
keywords: Ehrlichia chaffeensis; Mexico; bacteria; fatal; human monocytic ehrlichiosis; ticks; vector-borne infections