Human granulocytic anaplasmosis in Austria: epidemiological, clinical, and laboratory findings in five consecutive patients from Tyrol, Austria

International Journal of Medical Microbiology : IJMM
Gernot WalderReinhard Würzner

Abstract

We report five consecutive cases of Anaplasma (A.) phagocytophilum infection (the causative agent of human granulocytic anaplasmosis (HGA)) from western Austria. All infections were acquired between June and August in 2003 and 2004 in the Inn valley (Tyrol, Austria). Four patients required hospitalisation, one patient was treated as an outpatient. During the acute stage of illness, laboratory findings included thrombocytopenia (5/5), elevated C-reactive protein (5/5), elevated neopterin (5/5), elevated lactate dehydrogenase (4/5), and elevation of liver enzymes (4/5). Leukopenia (3/5) and elevated procalcitonin (2/5) were less frequently observed. All patients were treated with tetracyclines, which led to prompt improvement of the clinical conditions. Anti-platelet antibodies were observed in one of four patients, but remained unchanged after complete covalescence.

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Citations

Mar 20, 2010·Wiener medizinische Wochenschrift·Ursula Maria VoglWolfgang Graninger
Jan 6, 2012·Vector Borne and Zoonotic Diseases·Hongtao JinJun Qian
May 2, 2014·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·G DoblerM Niedrig
May 27, 2014·Emerging Infectious Diseases·Peter HagedornMatthias Niedrig
Feb 19, 2014·Wiener klinische Wochenschrift·Steffen RehbeinCornelia Silaghi
Dec 10, 2009·Wiener klinische Wochenschrift·Gerold Stanek
Jan 19, 2016·Diagnostic Microbiology and Infectious Disease·Mateusz MarkowiczGerold Stanek
Feb 11, 2012·Diagnostic Microbiology and Infectious Disease·Christelle KoebelSylvie Josiane De Martino
Dec 29, 2009·The Journal of Infection·Elisabeth Haschke-BecherPeter Strasser
May 21, 2017·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Heimo LaglerMichael Ramharter
Apr 21, 2020·BMC Infectious Diseases·Wolfgang HoeplerChristoph Wenisch

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