Khan Rana Raheel H, Zaki Rabeea, Zaki Aiman, Najjar Mojarrab Javad, Zahid Ahmed
Hospital Medicine, Marshfield Medical Center, Marshfield, USA.
Hospital Medicine, Marshfield Clinic Health System, Marshfield, USA.
Cureus. 2021 Feb 9;13(2):e13241. doi: 10.7759/cureus.13241.
This is a case of a 69-year-old male, with well-controlled rheumatoid arthritis and benign prostatic hyperplasia, who presented with fever and generalized weakness. He was found to have atrial fibrillation on his second emergency department visit and later diagnosed with human granulocytic anaplasmosis (HGA). Atrial fibrillation subsided with the commencement of HGA-specific treatment. This is the first case of HGA and atrial fibrillation reported in the English literature. It highlights the importance of being vigilant for unusual presentations of tick-borne diseases in the endemic areas.
这是一例69岁男性患者，患有病情控制良好的类风湿性关节炎和良性前列腺增生，出现发热和全身乏力症状。他在第二次就诊于急诊科时被发现患有心房颤动，后来被诊断为人粒细胞无形体病（HGA）。随着HGA特异性治疗的开始，心房颤动缓解。这是英文文献中报道的首例HGA合并心房颤动病例。它凸显了在流行地区对蜱传疾病异常表现保持警惕的重要性。
