Near fatal acute respiratory distress syndrome in a patient with human ehrlichiosis.

Abstract:

:Human ehrlichiosis is not a common cause of acute respiratory distress syndrome (ARDS). Physicians should be aware of this life-threatening but treatable entity. Progression to ARDS may be related to delay in diagnosis and treatment. Fever, leukopenia, thrombocytopenia, and a history of tick exposure in an endemic area during the spring and summer months should alert the physician to the possibility of human ehrlichiosis, since a definitive diagnosis requires serologic testing that may take weeks to confirm. We describe a case of ARDS resulting from human ehrlichiosis. A unique feature in our case was that despite the early use of doxycycline, the patient had near fatal ARDS that responded dramatically to high doses of steroids.

journal_name

South Med J

journal_title

Southern medical journal

authors

Patel RG,Byrd MA

doi

10.1097/00007611-199903000-00017

subject

Has Abstract

pub_date

1999-03-01 00:00:00

pages

333-5

issue

3

eissn

0038-4348

issn

1541-8243

journal_volume

92

pub_type

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