Simultaneous infection with Borrelia burgdorferi and human granulocytic ehrlichiosis

Pediatr Infect Dis J. 2003 Jan;22(1):91-2. doi: 10.1097/00006454-200301000-00023.

Abstract

A 5-year-old child with simultaneous early Lyme disease and human granulocytic ehrlichiosis (HGE) is described. Because of the shared vector, HGE and Lyme disease are increasingly identified as coinfections in tick-exposed patients. Early recognition of concurrent Lyme disease and HGE is important because amoxicillin, an antibiotic of choice for young children with early Lyme disease, is ineffective for HGE.

Publication types

  • Case Reports

MeSH terms

  • Amoxicillin / therapeutic use
  • Anaplasma phagocytophilum / isolation & purification
  • Bites and Stings
  • Borrelia burgdorferi / isolation & purification*
  • Borrelia burgdorferi / pathogenicity
  • Child, Preschool
  • Doxycycline / therapeutic use
  • Ehrlichiosis / complications*
  • Ehrlichiosis / diagnosis
  • Ehrlichiosis / drug therapy
  • Granulocytes / pathology
  • Humans
  • Immunoglobulin M / analysis
  • Lyme Disease / complications*
  • Lyme Disease / diagnosis
  • Lyme Disease / drug therapy
  • Male

Substances

  • Immunoglobulin M
  • Amoxicillin
  • Doxycycline