Download - July 8th acd
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Gary Berner
PGY2 – MP UAMS
July 8th ACD
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E. chaffeensis
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E. chaffeensis
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Lone Star TickAmerican Dog tickDeer tick
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Tick
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Tick
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Tick
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Rickettsia rickettsiaunicellular, Gram-negative can infect any cell in the body
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ErlichiosisPresenting symptoms
HA, fatigue, myalgia, N/VRashBoards- Hx + Fever, HA, and rash
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ErlichiosisPresenting symptoms
HA, fatigue, myalgiarash
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ErlichiosisPresenting symptoms
HA, fatigue, myalgia, N/VRash- small pink peripheral macules 2-5 days after
feverDiarrhea & joint pain (late stage)
DxHistory, history, historyDecreased WBC and Platelets, elevated Liver
enzymes, hyponatremia (late sign)PCR for E. chaffeensis- Can call ACH to find resultIndirect fluorescent Ab
Tx- Doxycycline, Doxycycline, DoxycyclineChloramphenicolRifampin if severe allergy or other CI
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5 case reports of Erlichia being the prodrome to HLHCase #1 and #5 from ACH
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