Abstract

HERNANDEZ-DE MEZERVILLE, Viviana  and  PADILLA-CUADRA, Juan I. Choque séptico por ehrliquiosis. Acta méd. costarric [online]. 2007, vol.49, n.2, pp.118-120. ISSN 0001-6002.

Human ehrlichiosis is a tick-borne infectious disease caused by Anaplasma sp and Ehrlichia sp. The presentation can range from a flu-like syndrome with fever, malaise, myalgia and headache to a septic shock state with multiorganic dysfunction. Half the patients require in- hospital care and the mortality rate is 5% as a result of opportunistic infections or hemorrhage. The diagnosis can be made by the visualization of intracytoplasmatic morulae in the blood smear, serology, cultives or polymerase chain reaction. The treatment of choice is doxycicline and generally carries a good response. We report a case of human ehrlichiosis associated with septic shock and multiorganic dysfunction successfully treated at the Calderon Guardia Hospital.

Keywords : ehrlichiosis; anaplasma; ehrlichia.

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