%0 Case Reports
%T Human Monocytic Ehrlichiosis Associated With Myocarditis and Hemophagocytic Lymphohistiocytosis.
%A Dahm CN
%A Yang BQ
%A Clark DE
%A Armstrong WC
%A Stevenson LW
%J JACC Case Rep
%V 2
%N 3
%D Mar 2020
%M 34317254
暂无%R 10.1016/j.jaccas.2019.12.042
%X We present 3 cases at a single institution of human monocytic ehrlichiosis resulting in myocarditis and hemophagocytic lymphohistiocytosis. Contrary to previously published studies in which case fatalities were only as high as 1%, 2 of the 3 patients we discuss experienced a fulminant course resulting in death despite appropriate doxycycline treatment. Human monocytic ehrlichiosis is rarely a cause of myocarditis and hemophagocytic lymphohistiocytosis, but a high degree of suspicion is important because early empirical therapy may decrease morbidity and mortality. (Level of Difficulty: Intermediate.).