Serial measurements of hematologic counts during the active phase of human granulocytic ehrlichiosis

J. S. Bakken, M. E. Aguero-Rosenfeld, R. L. Tilden, G. P. Wormser, H. W. Horowitz, J. T. Raffalli, M. Baluch, D. Riddell, J. J. Walls, J. S. Dumler

Research output: Contribution to journalArticle

Abstract

To describe the changes that occur in blood count parameters during the natural course of human granulocytic ehrlichiosis, we designed a retrospective cross-sectional case study of 144 patients with human granulocytic ehrlichiosis and matched controls who had a different acute febrile illness. Patients from New York State and the upper Midwest were evaluated from June 1990 through December 1998. Routine complete blood counts and manual differential leukocyte counts of peripheral blood were performed on blood samples that were collected during the active illness, and values were recorded until the day of treatment with an active antibiotic drug. Thrombocytopenia was observed more frequently than was leukopenia, and the risk of having ehrlichiosis varied inversely with the granulocyte count and the platelet count. Patients with ehrlichiosis displayed relative and absolute lymphopenia and had a significant increase in band neutrophil counts during the first week of illness. Knowledge of characteristic complete blood count patterns that occur during active ehrlichiosis may help clinicians to identify patients who should be evaluated specifically for ehrlichiosis and who should receive empiric antibiotic treatment with doxycycline.

Original languageEnglish (US)
Pages (from-to)862-870
Number of pages9
JournalClinical Infectious Diseases
Volume32
Issue number6
DOIs
StatePublished - Mar 15 2001

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Ehrlichiosis
Blood Cell Count
Anti-Bacterial Agents
Lymphopenia
Doxycycline
Leukopenia
Platelet Count
Leukocyte Count
Granulocytes
Thrombocytopenia
Neutrophils
Fever
Cross-Sectional Studies
Therapeutics
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Immunology

Cite this

Bakken, J. S., Aguero-Rosenfeld, M. E., Tilden, R. L., Wormser, G. P., Horowitz, H. W., Raffalli, J. T., ... Dumler, J. S. (2001). Serial measurements of hematologic counts during the active phase of human granulocytic ehrlichiosis. Clinical Infectious Diseases, 32(6), 862-870. https://doi.org/10.1086/319350

Serial measurements of hematologic counts during the active phase of human granulocytic ehrlichiosis. / Bakken, J. S.; Aguero-Rosenfeld, M. E.; Tilden, R. L.; Wormser, G. P.; Horowitz, H. W.; Raffalli, J. T.; Baluch, M.; Riddell, D.; Walls, J. J.; Dumler, J. S.

In: Clinical Infectious Diseases, Vol. 32, No. 6, 15.03.2001, p. 862-870.

Research output: Contribution to journalArticle

Bakken, JS, Aguero-Rosenfeld, ME, Tilden, RL, Wormser, GP, Horowitz, HW, Raffalli, JT, Baluch, M, Riddell, D, Walls, JJ & Dumler, JS 2001, 'Serial measurements of hematologic counts during the active phase of human granulocytic ehrlichiosis', Clinical Infectious Diseases, vol. 32, no. 6, pp. 862-870. https://doi.org/10.1086/319350
Bakken JS, Aguero-Rosenfeld ME, Tilden RL, Wormser GP, Horowitz HW, Raffalli JT et al. Serial measurements of hematologic counts during the active phase of human granulocytic ehrlichiosis. Clinical Infectious Diseases. 2001 Mar 15;32(6):862-870. https://doi.org/10.1086/319350
Bakken, J. S. ; Aguero-Rosenfeld, M. E. ; Tilden, R. L. ; Wormser, G. P. ; Horowitz, H. W. ; Raffalli, J. T. ; Baluch, M. ; Riddell, D. ; Walls, J. J. ; Dumler, J. S. / Serial measurements of hematologic counts during the active phase of human granulocytic ehrlichiosis. In: Clinical Infectious Diseases. 2001 ; Vol. 32, No. 6. pp. 862-870.
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