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Revista Latinoamericana de Infectología Pediátrica

ISSN 2683-1678 (Print)
Órgano Oficial de la Sociedad
Latinoamericana de lnfectología Pediátrica.
Órgano de la Asociación Mexicana de
Infectología Pediátrica, A.C.
Órgano difusor de la Sociedad Española
de lnfectología
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2021, Number 1

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Rev Latin Infect Pediatr 2021; 34 (1)

Human monocytic ehrlichiosis: first report of a pediatric case in Colombia

De EPA, Restrepo GAV, Trujillo HMR, Calle EDA
Full text How to cite this article 10.35366/99827

DOI

DOI: 10.35366/99827
URL: https://dx.doi.org/10.35366/99827

Language: Spanish
References: 11
Page: 41-47
PDF size: 218.35 Kb.


Key words:

Ehrlichia, human ehrlichiosis, zoonosis, Anaplasma, children.

ABSTRACT

Ehrlichiosis is a zoonosis, transmitted by ticks, of unknown incidence in Colombia, with a wide spectrum of clinical manifestations, remarkably similar to those that occur in other infections, which makes its diagnosis difficult. We present the case of a girl with fever, headache, nausea, generalized rash, epistaxis, thrombocytopenia, leukopenia, and meningitis, in whom ehrlichiosis was confirmed through polymerase chain reaction (PCR) in whole blood. The clinical suspicion based on the symptoms and the history of contact with ticks and sick dogs were key to the initiation of early empirical treatment and allowed the patient to heal. The description of this case aims to make this disease more visible to avoid delays in diagnosis and treatment that can lead to adverse outcomes, including death.


REFERENCES

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  2. Hidrón Botero A, Muñoz Ramírez F, Vega Miranda J. Primer caso de ehrlichiosis monocítica humana reportado en Colombia. Infectio. 2014; 18 (4): 162-166.

  3. Ríos R, Franco S, Mattar S, Urrea M, Tique V. Seroprevalence of Leptospira sp., Rickettsia sp. and Ehrlichia sp. in rural workers of Sucre, Colombia. Infectio. 2008; 12 (2): 90-95.

  4. American Academy of Pediatrics. Human ehrlichiosis, anaplasmosis, and related infections attributable to bacteria in the family Anaplasmataceae. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Red book: 2018-2021 report of the committee on infectious diseases. 31st ed. Itasca, IL: American Academy of Pediatrics; 2018-2021. pp. 323-327.

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  8. Lantos P, Krause PJ. Ehrlichiosis in children. Semin Pediatr Infect Dis. 2002; 13 (4): 249-256.

  9. Barrios AL, Lí EO, Suárez AF, Manchego SA, Hoyos SL. Evidencia hematológica y serológica de Ehrlichia spp en propietarios de caninos domésticos con antecedentes de ehrlichiosis en Lima metropolitana. Rev Investig Vet Perú. 2013; 24 (1): 64-71.

  10. Otrock ZK, Eby CS, Burnham CD. Human ehrlichiosis at a tertiary-care academic medical center: Clinical associations and outcomes of transplant patients and patients with hemophagocytic lymphohistiocytosis. Blood Cells Mol Dis. 2019; 77: 17-22.

  11. Hamburg BJ, Storch GA, Micek ST, Kollef MH. The importance of early treatment with doxycycline in human ehrlichiosis. Medicine. 2008; 87 (2): 53-60.




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Rev Latin Infect Pediatr. 2021;34