Dual infection with Ehrlichia chaffeensis and a spotted fever group Rickettsia: A case report

Daniel J. Sexton; G. Ralph Corey; Christopher Carpenter; Li Quo Kong; Tejel Gandhi; Edward Breitschwerdt; Barbara Hegarty; Sheng Ming Chen; Hui Min Feng; Xue Jie Yu; Juan Olano; David H. Walker; Stephen J. Dumler

doi:10.3201/eid0402.980222

Dual infection with Ehrlichia chaffeensis and a spotted fever group Rickettsia: A case report

Daniel J. Sexton, G. Ralph Corey, Christopher Carpenter, Li Quo Kong, Tejel Gandhi, Edward Breitschwerdt, Barbara Hegarty, Sheng Ming Chen, Hui Min Feng, Xue Jie Yu, Juan Olano, David H. Walker, Stephen J. Dumler

Research output: Contribution to journal › Review article › peer-review

31 Scopus citations

Abstract

Well-documented cases of simultaneous human infection with more than one tick-borne pathogen are rare. To our knowledge only two dual infections have been reported: simultaneous human infection with the agent of human granulocytic ehrlichiosis and Borrelia burgdorferi and simultaneous human infection with B. burgdorferi and Babesia microti (1-2). Rocky Mountain spotted fever has long been known to be endemic in North Carolina; cases of human ehrlichial infection were recognized there soon after Ehrlichia chaffeensis was recognized as an important cause of tick-borne disease in the southeastern United States. Because both Rocky Mountain spotted fever and ehrlichiosis are prevalent in North Carolina, occasional cases of simultaneous human infection by rickettsial and ehrlichial agents would not be surprising; however, no such cases seem to have been reported.

Original language	English (US)
Pages (from-to)	311-316
Number of pages	6
Journal	Emerging infectious diseases
Volume	4
Issue number	2
DOIs	https://doi.org/10.3201/eid0402.980222
State	Published - 1998
Externally published	Yes

ASJC Scopus subject areas

Epidemiology
Microbiology (medical)
Infectious Diseases

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title = "Dual infection with Ehrlichia chaffeensis and a spotted fever group Rickettsia: A case report",

abstract = "Well-documented cases of simultaneous human infection with more than one tick-borne pathogen are rare. To our knowledge only two dual infections have been reported: simultaneous human infection with the agent of human granulocytic ehrlichiosis and Borrelia burgdorferi and simultaneous human infection with B. burgdorferi and Babesia microti (1-2). Rocky Mountain spotted fever has long been known to be endemic in North Carolina; cases of human ehrlichial infection were recognized there soon after Ehrlichia chaffeensis was recognized as an important cause of tick-borne disease in the southeastern United States. Because both Rocky Mountain spotted fever and ehrlichiosis are prevalent in North Carolina, occasional cases of simultaneous human infection by rickettsial and ehrlichial agents would not be surprising; however, no such cases seem to have been reported.",

author = "Sexton, {Daniel J.} and Corey, {G. Ralph} and Christopher Carpenter and Kong, {Li Quo} and Tejel Gandhi and Edward Breitschwerdt and Barbara Hegarty and Chen, {Sheng Ming} and Feng, {Hui Min} and Yu, {Xue Jie} and Juan Olano and Walker, {David H.} and Dumler, {Stephen J.}",

year = "1998",

doi = "10.3201/eid0402.980222",

language = "English (US)",

volume = "4",

pages = "311--316",

journal = "Emerging infectious diseases",

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publisher = "Centers for Disease Control and Prevention (CDC)",

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T1 - Dual infection with Ehrlichia chaffeensis and a spotted fever group Rickettsia

T2 - A case report

AU - Sexton, Daniel J.

AU - Corey, G. Ralph

AU - Carpenter, Christopher

AU - Kong, Li Quo

AU - Gandhi, Tejel

AU - Breitschwerdt, Edward

AU - Hegarty, Barbara

AU - Chen, Sheng Ming

AU - Feng, Hui Min

AU - Yu, Xue Jie

AU - Olano, Juan

AU - Walker, David H.

AU - Dumler, Stephen J.

PY - 1998

Y1 - 1998

N2 - Well-documented cases of simultaneous human infection with more than one tick-borne pathogen are rare. To our knowledge only two dual infections have been reported: simultaneous human infection with the agent of human granulocytic ehrlichiosis and Borrelia burgdorferi and simultaneous human infection with B. burgdorferi and Babesia microti (1-2). Rocky Mountain spotted fever has long been known to be endemic in North Carolina; cases of human ehrlichial infection were recognized there soon after Ehrlichia chaffeensis was recognized as an important cause of tick-borne disease in the southeastern United States. Because both Rocky Mountain spotted fever and ehrlichiosis are prevalent in North Carolina, occasional cases of simultaneous human infection by rickettsial and ehrlichial agents would not be surprising; however, no such cases seem to have been reported.

AB - Well-documented cases of simultaneous human infection with more than one tick-borne pathogen are rare. To our knowledge only two dual infections have been reported: simultaneous human infection with the agent of human granulocytic ehrlichiosis and Borrelia burgdorferi and simultaneous human infection with B. burgdorferi and Babesia microti (1-2). Rocky Mountain spotted fever has long been known to be endemic in North Carolina; cases of human ehrlichial infection were recognized there soon after Ehrlichia chaffeensis was recognized as an important cause of tick-borne disease in the southeastern United States. Because both Rocky Mountain spotted fever and ehrlichiosis are prevalent in North Carolina, occasional cases of simultaneous human infection by rickettsial and ehrlichial agents would not be surprising; however, no such cases seem to have been reported.

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Dual infection with Ehrlichia chaffeensis and a spotted fever group Rickettsia: A case report

Abstract

ASJC Scopus subject areas

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