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Correspondence
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Volume 340:1214-1216 April 15, 1999 Number 15
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Human Granulocytic Ehrlichiosis in Western Europe

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To the Editor: Human granulocytic ehrlichiosis was first reported in the United States in 1994.1 Over the past five years at least several hundred cases have been reported, mostly in the upper Midwest and Northeast, regions where other diseases transmitted by Ixodes scapularis ticks, such as Lyme disease and babesiosis, are common. Four cases of human granulocytic ehrlichiosis have also recently been documented in Slovenia.2 We describe a case of human granulocytic ehrlichiosis in western Europe.

In September 1998, a 58-year-old Dutch man presented with a seven-day history of fever, chills, and diarrhea. He often camped in Gelderland, a region . . . [Full Text of this Article]

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