Fritz C L, Glaser C A
Division of Communicable Disease Control, Department of Health Services, Sacramento, California, USA.
Infect Dis Clin North Am. 1998 Mar;12(1):123-36. doi: 10.1016/s0891-5520(05)70413-x.
HGE and HME have been recognized as distinct clinical conditions for only 5 and 10 years, respectively, and much information regarding their ecology and epidemiology remains uncertain. The nonspecific character of the illness complicates this incomplete knowledge, as an unknown percentage of infections are likely misdiagnosed. Ehrlichiosis should be considered in any patient presenting with flu-like illness and history of a tick bite. Although expanding, diagnostic support for human ehrlichioses is currently limited to a few regional academic and public health laboratories. Healthcare providers should educate themselves regarding the clinical presentation of ehrlichioses and the availability of diagnostic resources in their area.
人粒细胞埃立克体病（HGE）和人单核细胞埃立克体病（HME）分别被确认为独立的临床病症仅有5年和10年，关于它们的生态学和流行病学的许多信息仍不确定。该疾病的非特异性特征使这种不完整的认识更加复杂，因为有未知比例的感染可能被误诊。任何出现流感样疾病且有蜱叮咬史的患者都应考虑埃立克体病。尽管诊断支持在不断扩大，但目前对人类埃立克体病的诊断支持仅限于少数地区性学术和公共卫生实验室。医疗服务提供者应自行了解埃立克体病的临床表现以及所在地区诊断资源的可获取情况。
