Human granulocytic anaplasmosis in a Scottish traveller returning from Canada

Climate change is likely to alter the geographic distribution of ticks and their host species, and the human populations at risk [3]. Blood-borne virus screening was negative, as was serology for EBV, CMV, hepatitis A and hepatitis E. Toxoplasma IgG testing was positive, but IgM negative. Admission Bloods Haemoglobin 140 g/L Platelet count 85 × 109/L White cell count 6.7 × 109/L Lymphocyte count 0.37 × 109/L Eosinophil count 0.00 × 109/L Creatinine 121 μmol/L Urea 9.1 mmol/L Sodium 133 mmol/L Potassium 3.9 mmol/L eGFR 51 ml/min Bilirubin 10 μmol/L ALT 108 U/L ALP 227 U/L Albumin 30 g/L Glucose 7.4 mmol/L CRP 93 mg/L Table 1 Selected blood results from tests performed on presentation to hospital in Scotland.