Friedman A D, Daniel G K, Qureshi W A
Department of Internal Medicine, John L. McClellan Memorial Veterans Hospital, Little Rock, USA.
South Med J. 1997 Jun;90(6):656-60. doi: 10.1097/00007611-199706000-00017.
A 42-year-old white man had headache, fever, chills, abdominal pain, nausea and vomiting, night sweats, and dark urine for 3 days before admission; he had history of a tick bite 6 weeks earlier. Progressive systemic deterioration, heralded by progressive hepatosplenomegaly and pancytopenia, occurred despite doxycycline therapy. Subsequent recovery was preceded by progressive resolution of hepatosplenomegaly. Progressive hepatosplenomegaly has not been previously reported in association with systemic monocytic ehrlichiosis.
一名42岁的白人男性在入院前3天出现头痛、发热、寒战、腹痛、恶心、呕吐、盗汗及深色尿；他在6周前有蜱叮咬史。尽管接受了强力霉素治疗，但仍出现进行性全身恶化，表现为进行性肝脾肿大和全血细胞减少。随后肝脾肿大逐渐消退，病情得以恢复。此前尚未有关于进行性肝脾肿大与系统性单核细胞埃立克体病相关的报道。
