Zikonov I, Potasman I
Dept. of Internal Medicine A, B'nai Zion Medical Center.
Harefuah. 1999 May 2;136(9):667-8, 756.
Ehrlichiosis is an emerging zoonotic disease transmitted to man by ticks. Its clinical features include fever, headache, myalgia, nausea and rash. The diagnosis requires a high index of suspicion; the disease has a specific serology, and has never been reported in Israel. We describe a 52-year-old man hospitalized with fever, a diffuse rash, arthralgia and epididymitis. Skin biopsy disclosed necrotizing small vessel disease consistent with periarteritis nodosa. Acute phase serum titer for E. chaffeensis was 1:256. Fever promptly subsided following ciprofloxacin.
埃立克体病是一种由蜱传播给人类的新发人畜共患病。其临床特征包括发热、头痛、肌痛、恶心和皮疹。诊断需要高度怀疑；该疾病有特定的血清学检查，且在以色列从未有过报告。我们描述了一名52岁男性，因发热、弥漫性皮疹、关节痛和附睾炎入院。皮肤活检显示坏死性小血管疾病，符合结节性多动脉炎。查菲埃立克体急性期血清滴度为1:256。环丙沙星治疗后发热迅速消退。
