Abstract:
:We conducted a retrospective serosurvey of 1,000 persons in Israel who had fever of undetermined cause to look for Ehrlichia chaffeensis antibodies. Four of five cases with antibodies reactive to E. chaffeensis were diagnosed in the summer, when ticks are more active. All patients had influenzalike symptoms with high fever. None of the cases was fatal. Three serum samples were also seroreactive for antibodies to E. canis, and one was also reactive to the human granulocytic ehrlichiosis (HGE) agent. The titer to the HGE agent in this patient was higher than the serum titer to E. chaffeensis, and the Western blot analysis also indicated that the HGE agent was the primary cause of infection. We present the first serologic evidence that the agents of human monocytic ehrlichiosis (HME) and HGE are present in Israel. Therefore, human ehrlichiosis should be included in the differential diagnoses for persons in Israel who have been exposed to ticks and have influenzalike symptoms.
journal_name
Emerg Infect Disjournal_title
Emerging infectious diseasesauthors
Keysary A,Amram L,Keren G,Sthoeger Z,Potasman I,Jacob A,Strenger C,Dawson JE,Waner Tdoi
10.3201/eid0506.990605subject
Has Abstractpub_date
1999-11-01 00:00:00pages
775-8issue
6eissn
1080-6040issn
1080-6059journal_volume
5pub_type
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