1. Early diagnosis of Ehrlichia ewingii infection in a lung transplant recipient by peripheral blood smear.
- Author
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Regunath H, Rojas-Moreno C, Olano JP, Hammer RD, and Salzer W
- Subjects
- Aged, Animals, Cytodiagnosis methods, DNA, Bacterial isolation & purification, Disease Transmission, Infectious, Doxycycline therapeutic use, Early Diagnosis, Ehrlichiosis blood, Ehrlichiosis drug therapy, Ehrlichiosis microbiology, Female, Fever blood, Fever drug therapy, Fever microbiology, Humans, Immunosuppression Therapy methods, Immunosuppressive Agents therapeutic use, Ixodidae microbiology, Leukopenia blood, Mycophenolic Acid adverse effects, Mycophenolic Acid therapeutic use, Polymerase Chain Reaction, Prednisone adverse effects, Prednisone therapeutic use, Tacrolimus adverse effects, Tacrolimus therapeutic use, Thoracentesis, Thrombocytopenia blood, Tomography, X-Ray Computed, Anti-Bacterial Agents therapeutic use, Ehrlichia isolation & purification, Ehrlichiosis diagnosis, Fever diagnosis, Graft Rejection drug therapy, Immunosuppression Therapy adverse effects, Immunosuppressive Agents adverse effects, Lung Transplantation adverse effects, Neutrophils microbiology
- Abstract
Ehrlichiosis in lung transplant (LT) recipients is associated with severe outcomes. Ehrlichia ewingii is a less frequent cause of symptomatic ehrlichiosis, characterized by cytoplasmic inclusions (morulae) within circulating neutrophils. We report a case of E. ewingii infection in an LT recipient diagnosed promptly by blood smear exam and confirmed with molecular studies., (© 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
- Published
- 2017
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