Neurologic abnormalities in a patient with human ehrlichiosis
Human ehrlichiosis is a tick-borne rickettsial disease characterized by fever, headache, myalgias, anorexia, and occasionally rash. In our patient, changes in mental status, upper motor neuron signs, cerebrospinal fluid pleocytosis, and increased serum protein levels were found in association with s...
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| Veröffentlicht in: | Southern medical journal (Birmingham, Ala.) Ala.), 1990-11, Vol.83 (11), p.1341-1343 |
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| container_issue | 11 |
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| container_title | Southern medical journal (Birmingham, Ala.) |
| container_volume | 83 |
| creator | Harkess, J R Stucky, D Ewing, S A |
| description | Human ehrlichiosis is a tick-borne rickettsial disease characterized by fever, headache, myalgias, anorexia, and occasionally rash. In our patient, changes in mental status, upper motor neuron signs, cerebrospinal fluid pleocytosis, and increased serum protein levels were found in association with serologically confirmed ehrlichiosis and were most likely due to vasculitis involving the central nervous system. Intraleukocytic inclusions, although observed in our case, have been infrequently found in other reported cases of ehrlichiosis. |
| doi_str_mv | 10.1097/00007611-199011000-00031 |
| format | Article |
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In our patient, changes in mental status, upper motor neuron signs, cerebrospinal fluid pleocytosis, and increased serum protein levels were found in association with serologically confirmed ehrlichiosis and were most likely due to vasculitis involving the central nervous system. 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Intraleukocytic inclusions, although observed in our case, have been infrequently found in other reported cases of ehrlichiosis.</description><subject>Adult</subject><subject>Antibodies, Bacterial - analysis</subject><subject>Central Nervous System Diseases - etiology</subject><subject>Diagnosis, Differential</subject><subject>Doxycycline - therapeutic use</subject><subject>Ehrlichia - immunology</subject><subject>Humans</subject><subject>Leukocytes, Mononuclear - microbiology</subject><subject>Male</subject><subject>Rickettsiaceae Infections - complications</subject><subject>Rickettsiaceae Infections - diagnosis</subject><subject>Rickettsiaceae Infections - drug therapy</subject><subject>Rickettsiaceae Infections - transmission</subject><subject>Vasculitis - etiology</subject><issn>0038-4348</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1LxDAQhnNQ1nX1Jwg5eatOmjYfBw-y-AWLXvQc0nRqI_1Ykxbx35t1VweGdwbedwYeQiiDKwZaXkMqKRjLmNbAWNqy1JwdkWUSlRW8UCfkNMaPnbFUYkEWec5lKWFJbp5xDmM3vntHbTWMobednzxG6gdq6dameZjol59a2s69HSi2ofOu9WP08YwcN7aLeH7QFXm7v3tdP2abl4en9e0mc5zBlNWqAFBYM1UKUELkmFfSWllpx6yzUhW51JWQTgohNArHlW5AYGNrzJsS-Ipc7u9uw_g5Y5xM76PDrrMDjnM0ChIJ0DoZ1d7owhhjwMZsg-9t-DYMzI6W-aNl_mmZX1openH4MVc91v_BAyr-AzecZsw</recordid><startdate>19901101</startdate><enddate>19901101</enddate><creator>Harkess, J R</creator><creator>Stucky, D</creator><creator>Ewing, S A</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19901101</creationdate><title>Neurologic abnormalities in a patient with human ehrlichiosis</title><author>Harkess, J R ; Stucky, D ; Ewing, S A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c310t-d84008ed185608662e2b7aa7b9c1aca784279b67c76669e6c389f06efade2f503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Antibodies, Bacterial - analysis</topic><topic>Central Nervous System Diseases - etiology</topic><topic>Diagnosis, Differential</topic><topic>Doxycycline - therapeutic use</topic><topic>Ehrlichia - immunology</topic><topic>Humans</topic><topic>Leukocytes, Mononuclear - microbiology</topic><topic>Male</topic><topic>Rickettsiaceae Infections - complications</topic><topic>Rickettsiaceae Infections - diagnosis</topic><topic>Rickettsiaceae Infections - drug therapy</topic><topic>Rickettsiaceae Infections - transmission</topic><topic>Vasculitis - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Harkess, J R</creatorcontrib><creatorcontrib>Stucky, D</creatorcontrib><creatorcontrib>Ewing, S A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Southern medical journal (Birmingham, Ala.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Harkess, J R</au><au>Stucky, D</au><au>Ewing, S A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neurologic abnormalities in a patient with human ehrlichiosis</atitle><jtitle>Southern medical journal (Birmingham, Ala.)</jtitle><addtitle>South Med J</addtitle><date>1990-11-01</date><risdate>1990</risdate><volume>83</volume><issue>11</issue><spage>1341</spage><epage>1343</epage><pages>1341-1343</pages><issn>0038-4348</issn><abstract>Human ehrlichiosis is a tick-borne rickettsial disease characterized by fever, headache, myalgias, anorexia, and occasionally rash. 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| fulltext | fulltext |
| identifier | ISSN: 0038-4348 |
| ispartof | Southern medical journal (Birmingham, Ala.), 1990-11, Vol.83 (11), p.1341-1343 |
| issn | 0038-4348 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_80109099 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Antibodies, Bacterial - analysis Central Nervous System Diseases - etiology Diagnosis, Differential Doxycycline - therapeutic use Ehrlichia - immunology Humans Leukocytes, Mononuclear - microbiology Male Rickettsiaceae Infections - complications Rickettsiaceae Infections - diagnosis Rickettsiaceae Infections - drug therapy Rickettsiaceae Infections - transmission Vasculitis - etiology |
| title | Neurologic abnormalities in a patient with human ehrlichiosis |
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