PDF(Pubmed)
Abstract：
Anaplasma phagocytophilum is the causative agent of human granulocytic anaplasmosis (HGA), a tick-borne illness with increasing incidence since being described in the 1990s. Importantly, the presentation can be vague, yet prompt treatment is paramount. An 81-year-old Caucasian female was hospitalized in Cincinnati, Ohio, for fever and confusion following prolonged outdoor exposure in Emlenton, Pennsylvania. She initially was treated for sepsis from presumed community-acquired pneumonia; however, the combination of leukopenia, thrombocytopenia, and elevated liver enzymes prompted empiric tick-borne illness consideration and treatment with rapid resolution in symptoms. Early recognition of HGA can reduce unnecessary treatments and improve patient outcomes.
摘要：
吞噬细胞无性体是人类粒细胞无形体病（HGA）的病原体，自1990年代描述以来，这是一种发病率不断增加的蜱传疾病。重要的是,演示文稿可以是模糊的，然而，及时治疗是至关重要的。一名81岁的白人女性在辛辛那提住院，俄亥俄州,在Emlenton长时间暴露于户外后发烧和混乱，宾夕法尼亚。她最初因假定的社区获得性肺炎而接受败血症治疗；然而，白细胞减少症的组合，血小板减少症,肝酶升高促使经验性蜱传疾病的考虑和治疗，症状迅速缓解。早期识别HGA可以减少不必要的治疗并改善患者预后。
