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Ehrlichiosis and anaplasmosis

Última revisión: 13 Feb 2025
Última actualización: 28 Jan 2025

Resumen

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • history of tick bite/exposure
  • history of immunosuppression
  • fever
  • headache
  • malaise
  • myalgia
  • arthralgia
  • nausea
  • small erythematous lesion with or without necrotic center
  • nonspecific rash
Todos los datos

Otros factores de diagnóstico

  • vomiting
  • diarrhea
  • abdominal pain
  • cough
  • dyspnea
  • stiff neck
  • confusion
  • photophobia
  • stupor
  • coma
  • seizures
  • lymphadenopathy
  • jaundice
  • hepatomegaly
  • splenomegaly
  • secondary infections
Todos los datos

Factores de riesgo

  • tick bite/exposure
  • immunosuppression
  • age over 60 years
  • male sex
Todos los datos

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • CBC
  • LFTs
  • peripheral blood smear
Todos los datos

Pruebas diagnósticas que deben considerarse

  • immunofluorescence antibody assay
  • polymerase chain reaction
Todos los datos

Pruebas emergentes

  • Western immunoblotting
  • culture
  • immunohistochemistry

Algoritmo de tratamiento

Inicial

adults

children

Colaboradores

Autores

Juan P. Olano, MD

Professor

Department of Pathology

University of Texas Medical Branch

Galveston

TX

Divulgaciones

JPO is the author of a number of references cited in this topic.

Revisores por pares

Hariharan Regunath, MD, FACP, FIDSA

Adjunct Assistant Professor of Clinical Medicine

Department of Medicine - Divisions of Infectious Diseases and Pulmonary & Critical Care Medicine

University of Missouri

Columbia

MO

Divulgaciones

HR declares that he has no competing interests.

Richard Reithinger, MD, PhD

Professor

London School of Hygiene and Tropical Medicine

London

UK

Divulgaciones

RR declares that he has no competing interests.

  • Ehrlichiosis and anaplasmosis images
  • Diferenciales

    • Pneumonia, bacterial or viral
    • Gastroenteritides, bacterial or viral
    • Cholecystitis
    Más Diferenciales
  • Guías de práctica clínica

    • CDC yellow book health information for international travel: rickettsial diseases
    • Tickborne diseases of the United States: a reference manual for health care providers
    Más Guías de práctica clínica
  • padlock-lockedInicie sesión o suscríbase para acceder a todo el BMJ Best Practice

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