Abstract
As illustrated by the case described in this report, the possibility of ehrlichiosis should be considered in the differential diagnosis of sulfasalazine toxicity/drug fever and other febrile illnesses presenting with pancytopenia/leukopenia and pulmonary abnormalities, when patients have been exposed to known tick-infested areas. Furthermore, the possibility of delayed serologic confirmation of Ehrlichia infection should be integrated into the diagnostic process as well.
MeSH terms
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Adult
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Antibodies, Bacterial / blood
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Diagnosis, Differential
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Doxycycline / therapeutic use
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Ehrlichia chaffeensis / immunology
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Ehrlichia chaffeensis / isolation & purification*
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Ehrlichiosis / complications
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Ehrlichiosis / diagnosis*
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Ehrlichiosis / drug therapy
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Female
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Humans
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Pancytopenia / complications
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Pancytopenia / diagnosis*
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Respiratory Distress Syndrome / complications
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Respiratory Distress Syndrome / diagnosis*
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Serologic Tests
Substances
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Antibodies, Bacterial
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Doxycycline