Ehrlichia Infections, North Carolina, USA, 2016

Emerg Infect Dis. 2018 Nov;24(11):2087-2090. doi: 10.3201/eid2411.180496.

Abstract

Nearly two thirds of persons suspected of having tickborne illness in central North Carolina, USA, were not tested for Ehrlichia. Failure to test may have resulted in a missed diagnosis for ≈13% of these persons, who were therefore substantially less likely to receive antimicrobial treatment and to have follow-up testing performed.

Keywords: Ehrlichia; North Carolina; Rickettsia; Tick; USA; United States; bacteria; tickborne diseases; vector-borne infections.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Aged
  • Animals
  • Anti-Bacterial Agents / therapeutic use
  • Arachnid Vectors / microbiology*
  • Cohort Studies
  • Demography
  • Doxycycline / therapeutic use
  • Ehrlichia / immunology*
  • Ehrlichia / isolation & purification
  • Ehrlichiosis / diagnosis*
  • Ehrlichiosis / drug therapy
  • Ehrlichiosis / epidemiology
  • Ehrlichiosis / microbiology
  • Female
  • Humans
  • Ixodidae / microbiology*
  • Male
  • Middle Aged
  • North Carolina / epidemiology
  • Retrospective Studies
  • Seroepidemiologic Studies
  • Tick-Borne Diseases / diagnosis*
  • Tick-Borne Diseases / drug therapy
  • Tick-Borne Diseases / epidemiology
  • Tick-Borne Diseases / microbiology

Substances

  • Anti-Bacterial Agents
  • Doxycycline