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Correspondence
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Volume 330:292-293 January 27, 1994 Number 4
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Human Ehrlichiosis in New England

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 by Spach, D. H.
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To the Editor: Human ehrlichiosis, a tick-borne rickettsialike infection marked by fever, leukopenia, and thrombocytopenia, has not been reported in New England. Here we describe an elderly man who acquired ehrlichiosis on Cape Cod, Massachusetts.

A 67-year-old resident of Hyannis presented to a local hospital with a seven-day history of fever, fatigue, confusion, headache, and a dry cough. He recalled having been exposed to ticks. He was febrile (temperature, up to 39.8 °C) and had hypotension and tachypnea. The physical examination was unremarkable. Laboratory values included a white-cell count of 6000 per cubic millimeter, a platelet count of 46,000 per . . . [Full Text of this Article]

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