PMID: 8953687Jan 1, 1996Paper

A case of concurrent Lyme meningitis with ehrlichiosis

Scandinavian Journal of Infectious Diseases
S Ahkee, J Ramirez

Abstract

We report on a case of concurrent Lyme meningitis and ehrlichiosis in a patient with occupational exposure to ticks as a logger. The patient had a febrile Illness with a reticulate erythematous rash on his upper torso, meningoencephalitis, thrombocytopenia, and hepatitis. Acute and convalescent serologies were consistent with a dual infection with Lyme disease and ehrlichiosis. Ixodes scapularis is the tick that is associated with Lyme disease in our area and this tick has also been reported to harbor the species of Ehrlichia that causes human granulocytic ehrlichiosis. Empiric therapy for both Lyme disease and ehrlichiosis should be considered in any patient suspected of having a tick-borne illness and presenting with signs and symptoms compatible with both infections.

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Citations

Aug 8, 2013·Twin Research and Human Genetics : the Official Journal of the International Society for Twin Studies·Thomas J Bouchard
Jul 8, 2011·Clinical Microbiology Reviews·Yasuko Rikihisa
Jan 15, 2003·Clinical Microbiology Reviews·Christopher D Paddock, James E Childs
Aug 7, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·C ThompsonP J Krause
Nov 15, 2018·JMM Case Reports·Stephanie L BuzzardMelissa L Thompson Bastin

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