MDcooper
Forum Guru
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A 32 year old male ,from arkansas ,presents in april with fever and headache for the last 2 days.Fever is associated with chills.He also complains of malaise and myalgia.He recalls exposure to tick bite 2 weeks ago while he was walking thru the woods.He denies any neck stiffness or any other neurological abnormality.His vitals are PR=90/min,BP 125/80,temp=102 F,Systemic exam is unremarkable with no rash or any signs of meningeal irritation.Lab testing shows.HCT 29%,WBC count 3000,plt count 80,000.
why is it not lymes disease?
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| brucella2007
Forum Junior
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no erythema chronicum migrans.
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| bharatvedin
Forum Newbie
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hi,
well this is a classical presentation of ehrlichioses...........
pancytopenia is the hallmark of ehrlichioses along with tick bite........
symptoms too are classical for a case of ehrlichioses........
thanx........
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| docnikki
Forum Guru
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presence of erythema migrans is highly sugestive of Lyme ds...whereas flu like symp without rash sugest babesioisis or erlichiosis.
complete blood count is normal in lyme.
baabesiosis---> thrombocytopenia and anemia.
erlichiosis--> leukopenia highly sugestive,
the three of them are endemic in similar areas.
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| MDcooper
Forum Guru
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thanx guys
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| ashfaque
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yup ehrlichia Chaffeensis causing Human Monocytic ehrlichiosis(HME) Resembles Rocky mounted spotted fever but no rash
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