Human Case of Ehrlichia chaffeensis Infection, Taiwan
In 2018, an immunosuppressed woman in southern Taiwan had onset of fever, chills, myalgia, malaise, thrombocytopenia, lymphocytopenia, and elevated hepatic transaminases. Investigation revealed infection with Ehrlichia chaffeensis. This autochthonous case of human monocytotropic ehrlichiosis was con...
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| Published in | Emerging infectious diseases Vol. 25; no. 11; pp. 2141 - 2143 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
U.S. National Center for Infectious Diseases
01.11.2019
Centers for Disease Control and Prevention |
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| Abstract | In 2018, an immunosuppressed woman in southern Taiwan had onset of fever, chills, myalgia, malaise, thrombocytopenia, lymphocytopenia, and elevated hepatic transaminases. Investigation revealed infection with Ehrlichia chaffeensis. This autochthonous case of human monocytotropic ehrlichiosis was confirmed by PCR, DNA sequencing, and seroconversion. |
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| AbstractList | In 2018, an immunosuppressed woman in southern Taiwan had onset of fever, chills, myalgia, malaise, thrombocytopenia, lymphocytopenia, and elevated hepatic transaminases. Investigation revealed infection with Ehrlichia chaffeensis. This autochthonous case of human monocytotropic ehrlichiosis was confirmed by PCR, DNA sequencing, and seroconversion. In 2018, an immunosuppressed woman in southern Taiwan had onset of fever, chills, myalgia, malaise, thrombocytopenia, lymphocytopenia, and elevated hepatic transaminases. Investigation revealed infection with Ehrlichia chaffeensis . This autochthonous case of human monocytotropic ehrlichiosis was confirmed by PCR, DNA sequencing, and seroconversion. In 2018, an immunosuppressed woman in southern Taiwan had onset of fever, chills, myalgia, malaise, thrombocytopenia, lymphocytopenia, and elevated hepatic transaminases. Investigation revealed infection with Ehrlichia chaffeensis. This autochthonous case of human monocytotropic ehrlichiosis was confirmed by PCR, DNA sequencing, and seroconversion.In 2018, an immunosuppressed woman in southern Taiwan had onset of fever, chills, myalgia, malaise, thrombocytopenia, lymphocytopenia, and elevated hepatic transaminases. Investigation revealed infection with Ehrlichia chaffeensis. This autochthonous case of human monocytotropic ehrlichiosis was confirmed by PCR, DNA sequencing, and seroconversion. |
| Audience | Professional Academic |
| Author | Shu, Pei-Yun Peng, Shih-Huan Ho, Yu-Ni Chen, Hsiang-Fei Yang, Su-Lin |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31625863$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.3201/eid1406.071502 10.1001/jama.292.18.2263 10.1186/s13071-017-2535-4 10.1016/S0140-6736(05)62571-8 10.15585/mmwr.rr6502a1 10.1128/JCM.29.12.2741-2745.1991 10.1128/JCM.40.8.3082-3085.2002 10.1128/CMR.16.1.37-64.2003 10.1186/s13071-016-1318-7 10.4269/ajtmh.15-0540 |
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| Keywords | human monocytic ehrlichiosis rickettsia vector-borne infections bacteria Ehrlichia chaffeensis Taiwan tickborne diseases |
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| References | Heo (key-10.3201/eid2511.190665-201910141147-R3) 2002; 40 Nichols Heitman (key-10.3201/eid2511.190665-201910141147-R10) 2016; 94 Dawson (key-10.3201/eid2511.190665-201910141147-R1) 1991; 29 Tsai (key-10.3201/eid2511.190665-201910141147-R8) 2016; 9 Biggs (key-10.3201/eid2511.190665-201910141147-R7) 2016; 65 Kuo (key-10.3201/eid2511.190665-201910141147-R9) 2017; 10 Paddock (key-10.3201/eid2511.190665-201910141147-R5) 2003; 16 Stone (key-10.3201/eid2511.190665-201910141147-R6) 2004; 292 Heppner (key-10.3201/eid2511.190665-201910141147-R2) 1997; 350 Zhang (key-10.3201/eid2511.190665-201910141147-R4) 2008; 14 |
| References_xml | – volume: 14 start-page: 938 year: 2008 ident: key-10.3201/eid2511.190665-201910141147-R4 article-title: Rickettsial Seroepidemiology among farm workers, Tianjin, People’s Republic of China. publication-title: Emerg Infect Dis doi: 10.3201/eid1406.071502 – volume: 292 start-page: 2263 year: 2004 ident: key-10.3201/eid2511.190665-201910141147-R6 article-title: Human monocytic ehrlichiosis. publication-title: JAMA doi: 10.1001/jama.292.18.2263 – volume: 10 start-page: 587 year: 2017 ident: key-10.3201/eid2511.190665-201910141147-R9 article-title: Tick-borne pathogens in ticks collected from birds in Taiwan. publication-title: Parasit Vectors doi: 10.1186/s13071-017-2535-4 – volume: 350 start-page: 785 year: 1997 ident: key-10.3201/eid2511.190665-201910141147-R2 article-title: Human ehrlichiosis in Thailand. publication-title: Lancet doi: 10.1016/S0140-6736(05)62571-8 – volume: 65 start-page: 1 year: 2016 ident: key-10.3201/eid2511.190665-201910141147-R7 article-title: Diagnosis and management of tickborne rickettsial diseases: Rocky Mountain spotted fever and other spotted fever group rickettsioses, ehrlichioses, and anaplasmosis—United States. publication-title: MMWR Recomm Rep doi: 10.15585/mmwr.rr6502a1 – volume: 29 start-page: 2741 year: 1991 ident: key-10.3201/eid2511.190665-201910141147-R1 article-title: Isolation and characterization of an Ehrlichia sp. from a patient diagnosed with human ehrlichiosis. publication-title: J Clin Microbiol doi: 10.1128/JCM.29.12.2741-2745.1991 – volume: 40 start-page: 3082 year: 2002 ident: key-10.3201/eid2511.190665-201910141147-R3 article-title: Serologic and molecular detection of Ehrlichia chaffeensis and Anaplasma phagocytophila (human granulocytic ehrlichiosis agent) in Korean patients. publication-title: J Clin Microbiol doi: 10.1128/JCM.40.8.3082-3085.2002 – volume: 16 start-page: 37 year: 2003 ident: key-10.3201/eid2511.190665-201910141147-R5 article-title: Ehrlichia chaffeensis: a prototypical emerging pathogen. publication-title: Clin Microbiol Rev doi: 10.1128/CMR.16.1.37-64.2003 – volume: 9 start-page: 45 year: 2016 ident: key-10.3201/eid2511.190665-201910141147-R8 article-title: Prevalence of antibodies against Ehrlichia spp. and Orientia tsutsugamushi in small mammals around harbors in Taiwan. publication-title: Parasit Vectors doi: 10.1186/s13071-016-1318-7 – volume: 94 start-page: 52 year: 2016 ident: key-10.3201/eid2511.190665-201910141147-R10 article-title: Increasing incidence of ehrlichiosis in the United States: a summary of national surveillance of Ehrlichia chaffeensis and Ehrlichia ewingii infections in the United States, 2008–2012. publication-title: Am J Trop Med Hyg doi: 10.4269/ajtmh.15-0540 |
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| Title | Human Case of Ehrlichia chaffeensis Infection, Taiwan |
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