Anaplasmosis Presenting as Septic Shock of Unknown Origin
Abstract
Ehrlichiosis and anaplasmosis are acute febrile tick-borne diseases caused by various members from the genera Ehlichia and Anaplasma. Cases are most reported from the southeastern and south-central United States, from the East Coast extending westward to Texas with peak report during the months of June and July. Three reported case of human Ehrlichiosis presented here exhibited non-specific symptoms, deranged liver panel, and heart failure. Similarly, our case report patient presented with transaminitis and cardiac dysfunction. Doxycycline remains to be the drug of choice in Ehrlichiosis and prompt treatment results to more favorable outcome. Clinicians should have a strong clinic suspicious to patients presenting with non-specific symptoms, hematologic abnormalities, and multiorgan dysfunction in endemic areas, especially during summer season.
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