Document Detail


A Naval Academy midshipman with ehrlichiosis after summer field exercises in Quantico, Virginia.
MedLine Citation:
PMID:  11272720     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A case of human ehrlichiosis (caused by infection with Ehrlichia chaffeensis) is presented. The patient was a female Naval Academy midshipman with a 26-day history of daily field training with the U.S. Marines near Quantico, Virginia. She presented with a several-day history of myalgias, fever, and frontal headache. During her clinical course, she developed fever to 104 degrees F, dry cough, dyspnea on exertion, arthralgias, and nephrotic syndrome. She did not develop a rash. Laboratory studies were significant for thrombocytopenia, equivocal Lyme enzyme immunosorbent assay with a negative confirmatory western immunoblot, equivocal Rocky Mountain spotted fever acute serology without a convalescent increase in immunoglobulin G, and immunoglobulin G/immunoglobulin M serology positive for human monocytic ehrlichiosis. She manifested known sequelae for this emerging disease, including dyspnea, pedal edema, increased transminases, and nephrotic syndrome.
Authors:
T B Rooney; T E McGue; K C Delahanty
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Military medicine     Volume:  166     ISSN:  0026-4075     ISO Abbreviation:  Mil Med     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-03-01     Completed Date:  2001-03-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2984771R     Medline TA:  Mil Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  191-3     Citation Subset:  IM    
Affiliation:
Naval Ambulatory Care Center, Internal Medicine, Newport, RI 02841, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Bacterial Agents / therapeutic use
Blotting, Western
Cough / microbiology
Doxycycline / therapeutic use
Dyspnea / microbiology
Ehrlichiosis / blood,  diagnosis*,  drug therapy,  etiology,  immunology
Female
Fever / microbiology
Headache / microbiology
Humans
Immunoenzyme Techniques
Inservice Training
Military Personnel*
Naval Medicine*
Pain / microbiology
Thrombocytopenia / microbiology
Virginia
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 564-25-0/Doxycycline

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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