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Human Granulocytic Ehrlichiosis Complicating Early Pregnancy
Background. The goal of this case is to review the zoonotic infection, human granulocytic ehrlichiosis, presenting with pyrexia. Case. A 22-year-old multigravid female presented to the emergency department with a painful skin rash, high fever, and severe myalgias. The patient underwent a diagnostic...
Autores principales: | , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2008
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2396214/ https://www.ncbi.nlm.nih.gov/pubmed/18509484 http://dx.doi.org/10.1155/2008/359172 |
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author | Muffly, Tyler McCormick, T. Chad Cook, Christopher Wall, Jeffrey |
author_facet | Muffly, Tyler McCormick, T. Chad Cook, Christopher Wall, Jeffrey |
author_sort | Muffly, Tyler |
collection | PubMed |
description | Background. The goal of this case is to review the zoonotic infection, human granulocytic ehrlichiosis, presenting with pyrexia. Case. A 22-year-old multigravid female presented to the emergency department with a painful skin rash, high fever, and severe myalgias. The patient underwent a diagnostic evaluation for zoonotic infections due to her geographical and seasonal risk factors. Treatment of human granulocytic ehrlichiosis was successful though the patient spontaneously aborted presumably due to the severity of the acute illness. Conclusion. Treatment of human granulocytic ehrlichiosis in pregnancy presents unique challenges. Management of pyrexia during pregnancy is limited to external cooling in the setting of thrombocytopenia and elevated aminotransferases. Extensive counseling regarding teratogenic potential of medications allows the patient to weigh the pros and cons of treatment. |
format | Text |
id | pubmed-2396214 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-23962142008-05-28 Human Granulocytic Ehrlichiosis Complicating Early Pregnancy Muffly, Tyler McCormick, T. Chad Cook, Christopher Wall, Jeffrey Infect Dis Obstet Gynecol Case Report Background. The goal of this case is to review the zoonotic infection, human granulocytic ehrlichiosis, presenting with pyrexia. Case. A 22-year-old multigravid female presented to the emergency department with a painful skin rash, high fever, and severe myalgias. The patient underwent a diagnostic evaluation for zoonotic infections due to her geographical and seasonal risk factors. Treatment of human granulocytic ehrlichiosis was successful though the patient spontaneously aborted presumably due to the severity of the acute illness. Conclusion. Treatment of human granulocytic ehrlichiosis in pregnancy presents unique challenges. Management of pyrexia during pregnancy is limited to external cooling in the setting of thrombocytopenia and elevated aminotransferases. Extensive counseling regarding teratogenic potential of medications allows the patient to weigh the pros and cons of treatment. Hindawi Publishing Corporation 2008 2008-05-22 /pmc/articles/PMC2396214/ /pubmed/18509484 http://dx.doi.org/10.1155/2008/359172 Text en Copyright © 2008 Tyler Muffly et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Muffly, Tyler McCormick, T. Chad Cook, Christopher Wall, Jeffrey Human Granulocytic Ehrlichiosis Complicating Early Pregnancy |
title | Human Granulocytic Ehrlichiosis Complicating Early Pregnancy |
title_full | Human Granulocytic Ehrlichiosis Complicating Early Pregnancy |
title_fullStr | Human Granulocytic Ehrlichiosis Complicating Early Pregnancy |
title_full_unstemmed | Human Granulocytic Ehrlichiosis Complicating Early Pregnancy |
title_short | Human Granulocytic Ehrlichiosis Complicating Early Pregnancy |
title_sort | human granulocytic ehrlichiosis complicating early pregnancy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2396214/ https://www.ncbi.nlm.nih.gov/pubmed/18509484 http://dx.doi.org/10.1155/2008/359172 |
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