Successful treatment of human granulocytic ehrlichiosis in children using rifampin

被引:37
作者
Krause, PJ
Corrow, CL
Bakken, JS [1 ]
机构
[1] St Marys Duluth Clin Hlth Syst, Infect Dis Sect, Duluth, MN 55605 USA
[2] Univ Connecticut, Sch Med, Dept Pediat, Hartford, CT 06112 USA
[3] Connecticut Childrens Med Ctr, Hartford, CT USA
关键词
human granulocytic ehrlichiosis; HGE; A phagocytophilum; rifampin;
D O I
10.1542/peds.112.3.e252
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Human granulocytic ehrlichiosis (HGE) is an emerging tick-borne infectious disease caused by Anaplasma phagocytophilum. Clinical features include a flu-like illness that usually resolves within 1 week. More serious infection may occur that requires hospital admission or culminates in death. Doxycycline is the treatment of choice for HGE but may cause permanent staining of teeth in children younger than 8 years of age. We report successful treatment of HGE with rifampin in 2 children, 4 and 6 years old. A course of rifampin for 5 to 7 days should be considered in children younger than 8 years of age who experience non-life-threatening A phagocytophilum infection.
引用
收藏
页码:E252 / E253
页数:2
相关论文
共 19 条
[1]   Human granulocytic ehrlichiosis: A case series from a medical center in New York state [J].
AgueroRosenfeld, ME ;
Horowitz, HW ;
Wormser, GP ;
McKenna, DF ;
Nowakowski, J ;
Munoz, J ;
Dumler, JS .
ANNALS OF INTERNAL MEDICINE, 1996, 125 (11) :904-908
[2]   Human granulocytic ehrlichiosis [J].
Bakken, JS ;
Dumler, JS .
CLINICAL INFECTIOUS DISEASES, 2000, 31 (02) :554-560
[3]   Clinical and laboratory characteristics of human granulocytic ehrlichiosis [J].
Bakken, JS ;
Krueth, J ;
WilsonNordskog, C ;
Tilden, RL ;
Asanovich, K ;
Dumler, JS .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1996, 275 (03) :199-205
[4]  
Bakken JS, 2002, ANTIMICROBIAL THERAP, P875
[5]  
BAKKEN JS, 1994, JAMA-J AM MED ASSOC, V272, P589
[6]   Clinical and epidemiological features of early Lyme disease and human granulocytic ehrlichiosis in Wisconsin [J].
Belongia, EA ;
Reed, KD ;
Mitchell, PD ;
Chyou, PH ;
Mueller-Rizner, N ;
Finkel, MF ;
Schriefer, ME .
CLINICAL INFECTIOUS DISEASES, 1999, 29 (06) :1472-1477
[7]   Population-based incidence of human granulocytic ehrlichiosis in northwestern Wisconsin, 1997-1999 [J].
Belongia, EA ;
Gale, CM ;
Reed, KD ;
Mitchell, PD ;
Vandermause, M ;
Finkel, MF ;
Kazmierczak, JJ ;
Davis, JP .
JOURNAL OF INFECTIOUS DISEASES, 2001, 184 (11) :1470-1474
[8]   Reorganization of genera in the families Rickettsiaceae and Anaplasmataceae in the order Rickettsiales:: unification of some species of Ehrlichia with Anaplasma, Cowdria with Ehrlichia and Ehrlichia with Neorickettsia, descriptions of six new species combinations and designation of Ehrlichia equi and 'HGE agent' as subjective synonyms of Ehrlichia phagocytophila [J].
Dumler, JS ;
Barbet, AF ;
Bekker, CPJ ;
Dasch, GA ;
Palmer, GH ;
Ray, SC ;
Rikihisa, Y ;
Rurangirwa, FR .
INTERNATIONAL JOURNAL OF SYSTEMATIC AND EVOLUTIONARY MICROBIOLOGY, 2001, 51 :2145-2165
[9]   Perinatal transmission of the agent of human granulocytic ehrlichiosis [J].
Horowitz, HW ;
Kilchevsky, E ;
Haber, S ;
Aguero-Rosenfeld, M ;
Kranwinkel, R ;
James, EK ;
Wong, SJ ;
Chu, F ;
Liveris, D ;
Schwartz, I .
NEW ENGLAND JOURNAL OF MEDICINE, 1998, 339 (06) :375-378
[10]   The emergence of another tickborne infection in the 12-town area around Lyme, Connecticut: Human granulocytic ehrlichiosis [J].
IJdo, JW ;
Meek, JI ;
Cartter, ML ;
Magnarelli, LA ;
Wu, CY ;
Tenuta, SW ;
Fikrig, E ;
Ryder, RW .
JOURNAL OF INFECTIOUS DISEASES, 2000, 181 (04) :1388-1393