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Original Article
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Volume 337:27-30 July 3, 1997 Number 1
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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.

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Infection with the agent of human granulocytic ehrlichiosis occurs in areas in which Borrelia burgdorferi and Babesia microti are endemic.1,2,3,4 The most likely vector of human granulocytic ehrlichiosis is the deer tick, Ixodes scapularis, which is also the vector of Lyme disease and babesiosis.3,4 Coinfection in humans with both the agent of human granulocytic ehrlichiosis and B. burgdorferi can be anticipated because ixodes ticks infected with the two organisms have been identified in several locales.3,4,5

The diagnosis of simultaneous infection with B. burgdorferi and the agent of human granulocytic ehrlichiosis is important because 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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