Ehrlichiosis mimicking acute leukemia

Human monocytic ehrlichiosis is a tickborne disease with a spectrum of presentations ranging from asymptomatic, mild to fatal. Ehrlichiosis can transiently cause white blood cells abnormalities that mimic leukemia/lymphoma and cases have been, on rare occasions, initially mistaken for hematological...

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Main Authors: Ra’ed Jabr, Wissam El Atrouni
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:IDCases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250922001081
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author Ra’ed Jabr
Wissam El Atrouni
author_facet Ra’ed Jabr
Wissam El Atrouni
author_sort Ra’ed Jabr
collection DOAJ
description Human monocytic ehrlichiosis is a tickborne disease with a spectrum of presentations ranging from asymptomatic, mild to fatal. Ehrlichiosis can transiently cause white blood cells abnormalities that mimic leukemia/lymphoma and cases have been, on rare occasions, initially mistaken for hematological malignancies. We report a case of Ehrlichia chaffeensis infection suspected to be acute promyelocytic leukemia at presentation, prompting therapy with all-trans-retinoic acid. Physicians should keep tickborne transmitted illnesses on the differential in patients presenting with pancytopenia, especially in endemic areas.
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spelling doaj.art-34f862cd2fc44469b54791d814f2a48d2022-12-22T03:29:15ZengElsevierIDCases2214-25092022-01-0128e01480Ehrlichiosis mimicking acute leukemiaRa’ed Jabr0Wissam El Atrouni1University of Miami Hospital and Clinics, Miami, FL, USAThe University of Kansas Medical Center, Division of Infectious Diseases, Kansas City, KS, USA; Correspondence to: Division of Infectious Diseases - 6067 Delp, MS (1028), The University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.Human monocytic ehrlichiosis is a tickborne disease with a spectrum of presentations ranging from asymptomatic, mild to fatal. Ehrlichiosis can transiently cause white blood cells abnormalities that mimic leukemia/lymphoma and cases have been, on rare occasions, initially mistaken for hematological malignancies. We report a case of Ehrlichia chaffeensis infection suspected to be acute promyelocytic leukemia at presentation, prompting therapy with all-trans-retinoic acid. Physicians should keep tickborne transmitted illnesses on the differential in patients presenting with pancytopenia, especially in endemic areas.http://www.sciencedirect.com/science/article/pii/S2214250922001081Human monocytic ehrlichiosisTickborne illnessPancytopenia
spellingShingle Ra’ed Jabr
Wissam El Atrouni
Ehrlichiosis mimicking acute leukemia
IDCases
Human monocytic ehrlichiosis
Tickborne illness
Pancytopenia
title Ehrlichiosis mimicking acute leukemia
title_full Ehrlichiosis mimicking acute leukemia
title_fullStr Ehrlichiosis mimicking acute leukemia
title_full_unstemmed Ehrlichiosis mimicking acute leukemia
title_short Ehrlichiosis mimicking acute leukemia
title_sort ehrlichiosis mimicking acute leukemia
topic Human monocytic ehrlichiosis
Tickborne illness
Pancytopenia
url http://www.sciencedirect.com/science/article/pii/S2214250922001081
work_keys_str_mv AT raedjabr ehrlichiosismimickingacuteleukemia
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