A Case Report of Human Granulocytic Anaplasmosis (Ehrlichiosis) in Pregnancy and a Literature Review of Tick-Borne Diseases in the United States During Pregnancy

2011 ◽  
Vol 66 (12) ◽  
pp. 788-796 ◽  
Author(s):  
Neena Qasba ◽  
Amirhoushang A. Shamshirsaz ◽  
Henry M. Feder ◽  
Winston A. Campbell ◽  
James F. Egan ◽  
...  
2003 ◽  
Vol 36 (7) ◽  
pp. e73-e80 ◽  
Author(s):  
Nasia Safdar ◽  
Daniel K. Young ◽  
David Andes

2012 ◽  
Vol 87 (4) ◽  
pp. 633-636 ◽  
Author(s):  
Viviane Maria Rocha Martins ◽  
Antônio Renê Diógenes de Sousa ◽  
Natália de Carvalho Portela ◽  
Celina Aguiar Frota Tigre ◽  
Lucidi Maria Saraiva Gonçalves ◽  
...  

Exogenous ochronosis is a rare, cosmetically disfiguring condition, resulting from the longterm use of topical hydroquinone in treatment of melasma. It manifests as gray-brown or blue-black macules in hydroquinone-exposed regions. The exact incidence of ochronosis is unknown. High rates have been reported in the South African population, and it is rare in the United States. We report the case of a patient who developed exogenous ochronosis while using topical hydroquinone. It is necessary to recognize this disorder at the earliest stage and discontinue hydroquinone immediately, as its treatment is difficult. Sun exposure facilitates the formation of exogenous ochronosis and must be strictly avoided, although it is a practical problem in the tropical climate of Brazil, particularly for those who work outdoors.


2009 ◽  
Vol 20 (3) ◽  
pp. e100-e102 ◽  
Author(s):  
Michael D Parkins ◽  
Deirdre L Church ◽  
Xiu Yan Jiang ◽  
Daniel B Gregson

Human granulocytic anaplasmosis (HGA) is a tick-borne rickettsial infection of peripheral blood neutrophils caused byAnaplasma phagocytophilum. While this infection is increasingly recognized as endemic throughout much of the United States, no Canadian cases have been previously described, despite the agent being identified in Canadian ticks. Herein we present a case of HGA acquired in an urban Alberta centre. Canadian physicians must be aware of the possibility of tick-borne rickettsial diseases as etiology of fever in individuals presenting with leukopenia/lymphopenia, thrombocytopenia and elevated transaminases during periods of tick activity. Prompt recognition and treatment are important in minimizing resultant morbidity and mortality.


2015 ◽  
Vol 93 (1) ◽  
pp. 66-72 ◽  
Author(s):  
F. Scott Dahlgren ◽  
Kristen Nichols Heitman ◽  
Casey Barton Behravesh ◽  
Naomi A. Drexler ◽  
Robert F. Massung

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Kara Rognrud ◽  
Andrew M. Diaz ◽  
Collin Hill ◽  
Melissa A. Kershaw

A 47-year-old male with no significant medical history was hospitalized for bacteremia and diagnosed with endocarditis. The organism isolated was a Gram-negative bacillus—Sphingomonas paucimobilis. There are only a few reported cases of endocarditis caused by S. paucimobilis, and to our knowledge, this is the first in the United States.


Author(s):  
Michael L Levin ◽  
Hannah M Stanley ◽  
Kris Hartzer ◽  
Alyssa N Snellgrove

Abstract The Asian longhorned tick, Haemaphysalis longicornis Neumann (Acari: Ixodidae), was recently introduced into the United States and is now established in at least 15 states. Considering its ability for parthenogenetic propagation and propensity for creating high-density populations, there is concern that this tick may become involved in transmission cycles of endemic tick-borne human pathogens. Human granulocytic anaplasmosis (HGA) caused by Anaplasma phagocytophilum is one of the more common tick-borne diseases in the United States, especially in the northeastern and midwestern states. There is considerable geographical overlap between HGA cases and the currently known distribution of H. longicornis, which creates a potential for this tick to encounter A. phagocytophilum while feeding on naturally infected vertebrate hosts. Therefore, we evaluated the ability of H. longicornis to acquire and transmit the agent of HGA under laboratory conditions and compared it to the vector competence of I. scapularis. Haemaphysalis longicornis nymphs acquired the pathogen with the bloodmeal while feeding on infected domestic goats, but transstadial transmission was inefficient and PCR-positive adult ticks were unable to transmit the pathogen to naïve goats. Results of this study indicate that the Asian longhorned tick is not likely to play a significant role in the epidemiology of HGA in the United States.


Author(s):  
Stephanie J. Ventura ◽  
William D. Mosher ◽  
Sally C. Curtin ◽  
Joyce C. Abma ◽  
Stanley Henshaw

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