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Provedor de dados:  BJID
País:  Brazil
Título:  More about human monocytotropic ehrlichiosis in Brazil: serological evidence of nine new cases
Autores:  Costa,Paulo Sérgio Gonçalves da
Valle,Lena Márcia de Carvalho
Brigatte,Marco Emilio
Greco,Dirceu Bartolomeu
Data:  2006-02-01
Ano:  2006
Palavras-chave:  Monocytotropic ehrlichiosis
Brazil
Humans
Resumo:  Human Ehrlichia chaffeensis infections have been reported in North America, Asia and Europe, but only recently have human cases been reported in Brazil. Nine new human cases of E. chaffeensis infection diagnosed on a clinical and serological basis are reported. Serological tests were performed with indoor slides prepared with CDC stock DH-82 cells infected with E. chaffeensis (Arkansas strain). All but two patients were adults. Seven patients were male and two female. The fever duration varied from 4 to 120 days with a median of 6 days. All patients recalled previous tick attack. IgM was detected in four cases. Influenza like syndrome was the most frequent clinical form affecting five patients. Two patients had fever of unknown origin (FUO), one patient had blood culture-negative endocarditis and one had encephalitis. All patients except one recovered. Two patients were correctly treated. One patient with FUO had AIDS and unexplained pancytopenia. The occurrence of human ehrlichiosis by E. chaffeensis remains to be proved in Brazil; the cases reported here highlight the possibility of such disease occurrence in Brazil.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702006000100002
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1590/S1413-86702006000100002
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.10 n.1 2006
Direitos:  info:eu-repo/semantics/openAccess
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