Abstract
Ehrlichiosis in lung transplant (LT) recipients is associated with severe outcomes. Ehrlichia ewingii is a less frequent cause of symptomatic ehrlichiosis, characterized by cytoplasmic inclusions (morulae) within circulating neutrophils. We report a case of E. ewingii infection in an LT recipient diagnosed promptly by blood smear exam and confirmed with molecular studies.
Keywords:
Ehrlichia ewingii; blood smear; doxycycline; fever; lung transplant.
© 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
MeSH terms
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Aged
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Animals
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Anti-Bacterial Agents / therapeutic use*
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Cytodiagnosis / methods
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DNA, Bacterial / isolation & purification
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Disease Transmission, Infectious
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Doxycycline / therapeutic use
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Early Diagnosis
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Ehrlichia / isolation & purification*
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Ehrlichiosis / blood
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Ehrlichiosis / diagnosis*
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Ehrlichiosis / drug therapy
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Ehrlichiosis / microbiology
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Female
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Fever / blood
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Fever / diagnosis*
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Fever / drug therapy
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Fever / microbiology
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Graft Rejection / drug therapy*
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Humans
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Immunosuppression Therapy / adverse effects*
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Immunosuppression Therapy / methods
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Immunosuppressive Agents / adverse effects*
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Immunosuppressive Agents / therapeutic use
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Ixodidae / microbiology
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Leukopenia / blood
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Lung Transplantation / adverse effects*
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Mycophenolic Acid / adverse effects
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Mycophenolic Acid / therapeutic use
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Neutrophils / microbiology*
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Polymerase Chain Reaction
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Prednisone / adverse effects
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Prednisone / therapeutic use
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Tacrolimus / adverse effects
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Tacrolimus / therapeutic use
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Thoracentesis
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Thrombocytopenia / blood
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Tomography, X-Ray Computed
Substances
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Anti-Bacterial Agents
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DNA, Bacterial
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Immunosuppressive Agents
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Mycophenolic Acid
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Doxycycline
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Prednisone
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Tacrolimus