Salgado J H, Evans M E, Hoven A D, Noble R C
Department of Medicine, University of Kentucky College of Medicine, Lexington, USA.
J Ky Med Assoc. 1995 Apr;93(4):132-5.
Ehrlichiosis is a recently described tick-borne disease characterized by headache, fever and chills, leukopenia, thrombocytopenia, and transaminase elevation. The presentation is similar to Rocky Mountain spotted fever but the rash is less frequently present in ehrlichiosis. The diagnosis is confirmed by elevated antibody titers to Ehrlichia chaffeensis or visualization of inclusions in white blood cells and the disease is easily cured with tetracyclines or chloramphenicol. Cases of ehrlichiosis are reported from southeastern, southcentral and midatlantic states. We report three cases of Ehrlichia infection acquired in Pulaski County and Fort Knox, KY during 1992-93.
埃立克体病是一种最近才被描述的蜱传播疾病，其特征为头痛、发热、寒战、白细胞减少、血小板减少和转氨酶升高。其临床表现与落基山斑疹热相似，但埃立克体病中皮疹较少见。通过检测针对查菲埃立克体的抗体滴度升高或观察白细胞内的包涵体可确诊该病，且用四环素或氯霉素很容易治愈。在东南部、中南部和大西洋中部各州均有埃立克体病病例报告。我们报告了1992年至1993年期间在肯塔基州普拉斯基县和诺克斯堡感染埃立克体的3例病例。
