Simultaneous Human Granulocytic Ehrlichiosis and Lyme Borreliosis
Robert B. Nadelman, M.D., Harold W. Horowitz, M.D., Tze-chen Hsieh, Ph.D., Joseph M. Wu, Ph.D., Maria E. Aguero-Rosenfeld, M.D., Ira Schwartz, Ph.D., John Nowakowski, M.D., Shobha Varde, M.S., and Gary P. Wormser, M.D.
Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.
Infection with the agent of human granulocytic ehrlichiosisoccurs in areas in which Borrelia burgdorferi and Babesia microtiare endemic.1,2,3,4 The most likely vector of human granulocyticehrlichiosis is the deer tick, Ixodes scapularis, which is alsothe vector of Lyme disease and babesiosis.3,4 Coinfection inhumans with both the agent of human granulocytic ehrlichiosisand B. burgdorferi can be anticipated because ixodes ticks infectedwith the two organisms have been identified in several locales.3,4,5
The diagnosis of simultaneous infection with B. burgdorferiand the agent of human granulocytic ehrlichiosis is importantbecause the natural history of each of the . . . [Full Text of this Article]
Case Report
Methods
Evaluation for Infection with the Agent of Human Granulocytic Ehrlichiosis
Evaluation for B. burgdorferi Infection
Results
Discussion
Source Information
From the Department of Medicine, Division of Infectious Diseases (R.B.N., H.W.H., J.N., G.P.W.), and the Department of Pathology (M.E.A.-R.), Westchester County Medical Center and New York Medical College; and the Department of Biochemistry and Molecular Biology, New York Medical College (T.H., J.M.W., I.S., S.V.) all in Valhalla, N.Y.
Address reprint requests to Dr. Horowitz at the Westchester County Medical Center, Division of Infectious Diseases, Macy Pavilion 209SE, Valhalla, NY 10595.
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