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Human Monocytic Ehrlichiosis

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1. Large-scale health disparities associated with Lyme disease and human monocytic ehrlichiosis in the United States, 2007-2013. Full Text available with Trip Pro

Large-scale health disparities associated with Lyme disease and human monocytic ehrlichiosis in the United States, 2007-2013. Promoting health equity is a fundamental public health objective, yet health disparities remain largely overlooked in studies of vectorborne diseases, especially those transmitted by ticks. We sought to identify health disparities associated with Lyme disease and human monocytic ehrlichiosis, two of the most pervasive tickborne diseases within the United States. We used (...) ; the incidence of human monocytic ehrlichiosis was highest in counties with relatively higher proportions of white and less educated persons, higher unemployment rates and lower crime rates. The percentage of housing units vacant was a strong positive predictor for both diseases with a magnitude of association comparable to those between incidence and the ecological variables. Our findings indicate that racial/ethnic and socioeconomic disparities in disease incidence appear to be epidemiologically important

2018 PLoS ONE

2. Human Monocytic Ehrlichiosis

Human Monocytic Ehrlichiosis Human Monocytic Ehrlichiosis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Human Monocytic Ehrlichiosis (...) Human Monocytic Ehrlichiosis Aka: Human Monocytic Ehrlichiosis , Ehrlichia chaffeensis , Ehrlichia ewingii , Ehrlichiosis , Human Ehrlichiosis From Related Chapters II. Epidemiology : 906 reported cases in U.S. in 2014 Outdoor or woods exposure Majority of cases occur l to September Highest in June and July U.S. regions affected South central and Southeast (New Jersey and south) Southern midwest (from Illinois to Texas) III. Pathophysiology Carried by Lone star tick (Amblyomma americanum) Small gram

2018 FP Notebook

3. Ehrlichiosis and anaplasmosis

bacteria from the Anaplasmataceae family: Ehrlichia ewingii , E chaffeensis , and Anaplasma phagocytophilum . Ehrlichia muris -like agent (EMLA) also causes symptomatic infection and is the most recently recognised form of human ehrlichiosis. The type of infection that develops depends on the infecting bacteria and includes human monocytotropic/monocytic ehrlichiosis (HME), human granulocytotropic/granulocytic anaplasmosis (HGA), and human ewingii ehrlichiosis (HEE). The clinical manifestations of each (...) Ehrlichiosis and anaplasmosis Ehrlichiosis and anaplasmosis - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Ehrlichiosis and anaplasmosis Last reviewed: February 2019 Last updated: August 2018 Summary All types of human ehrlichioses and anaplasmosis are nationally notifiable diseases. Seasonality is due to higher likelihood of tick exposure/bite when people spend more time outdoors in warmer months. Presumptive

2018 BMJ Best Practice

4. Successful Treatment of Human Monocytic Ehrlichiosis with Rifampin Full Text available with Trip Pro

Successful Treatment of Human Monocytic Ehrlichiosis with Rifampin Currently recommended treatment regimens for human monocytic ehrlichiosis (HME) include doxycycline or tetracycline. Antibiotic susceptibility studies demonstrate that rifampin has in vitro bactericidal activity against Ehrlichia. Case reports have suggested clinical response with rifampin treatment of human granulocytic anaplasmosis (HGA). We report the first case of HME successfully treated with rifampin.

2016 Cureus

5. Severe human monocytic ehrlichiosis presenting with altered mental status and seizures Full Text available with Trip Pro

Severe human monocytic ehrlichiosis presenting with altered mental status and seizures A previously healthy 66-year-old woman living in the Mid-Atlantic USA presented to the hospital with lethargy, ataxia and slurred speech. 2 weeks prior she had removed a tick from her right groin. She reported malaise, fevers, diarrhoea, cough and a rash. Physical examination revealed a maculopapular rash on her chest, and lung auscultation revealed bi-basilar rales. Laboratory tests were remarkable (...) the diagnosis of human monocytic ehrlichiosis. She recovered without residual neurological deficits after 10 days of doxycycline therapy.2016 BMJ Publishing Group Ltd.

2016 BMJ case reports

6. Human monocytic ehrlichiosis complicated by hemophagocytic lymphohistiocytosis and multi-organ dysfunction syndrome Full Text available with Trip Pro

Human monocytic ehrlichiosis complicated by hemophagocytic lymphohistiocytosis and multi-organ dysfunction syndrome Human monocytic ehrlichiosis can manifest as a disease causing multi-organ failure. Rarely, it can cause secondary hemophagocytic lymphohistiocytosis (HLH). Early diagnosis and initiation of treatment for both ehrlichiosis and HLH is lifesaving. Therefore, clinical suspicion of HLH must remain high in the setting of an ehrlichiosis infection.Copyright © 2016 Elsevier Inc. All

2016 Diagnostic microbiology and infectious disease

7. Fatal Monocytic Ehrlichiosis in Woman, Mexico, 2013. Full Text available with Trip Pro

Fatal Monocytic Ehrlichiosis in Woman, Mexico, 2013. Human monocytic ehrlichiosis is a febrile illness caused by Ehrlichia chaffeensis, an intracellular bacterium transmitted by ticks. In Mexico, a case of E. chaffeensis infection in an immunocompetent 31-year-old woman without recognized tick bite was fatal. This diagnosis should be considered for patients with fever, leukopenia, thrombocytopenia, and elevated liver enzyme levels.

2016 Emerging Infectious Diseases

8. Human Monocytic Ehrlichiosis

Human Monocytic Ehrlichiosis Human Monocytic Ehrlichiosis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Human Monocytic Ehrlichiosis (...) Human Monocytic Ehrlichiosis Aka: Human Monocytic Ehrlichiosis , Ehrlichia chaffeensis , Ehrlichia ewingii , Ehrlichiosis , Human Ehrlichiosis From Related Chapters II. Epidemiology : 906 reported cases in U.S. in 2014 Outdoor or woods exposure Majority of cases occur l to September Highest in June and July U.S. regions affected South central and Southeast (New Jersey and south) Southern midwest (from Illinois to Texas) III. Pathophysiology Carried by Lone star tick (Amblyomma americanum) Small gram

2016 FP Notebook

9. Human Monocytic Ehrlichiosis

Human Monocytic Ehrlichiosis Human Monocytic Ehrlichiosis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 '); } document.write (...) (' '); //]]> Human Monocytic Ehrlichiosis Human Monocytic Ehrlichiosis Aka: Human Monocytic Ehrlichiosis , Ehrlichia chaffeensis , Ehrlichia ewingii From Related Chapters I. See Also II. Pathophysiology Carried by Lone star tick (Amblyomma americanum) Small gram-negative organisms Pleomorphic Obligate intracellular organisms Organisms causing Human Monocytic Ehrlichiosis Ehrlichia chaffeensis Ehrlichia ewingii '); } document.write(' '); //]]> III. Epidemiology Majority of cases occur l to September Highest

2015 FP Notebook

10. Interstitial pneumonia and pulmonary hypertension associated with suspected ehrlichiosis in a dog Full Text available with Trip Pro

Interstitial pneumonia and pulmonary hypertension associated with suspected ehrlichiosis in a dog In dogs with canine monocytic ehrlichiosis (CME), respiratory signs are uncommon and clinical and radiographic signs of interstitial pneumonia are poorly described. However, in human monocytic ehrlichiosis, respiratory signs are common and signs of interstitial pneumonia are well known. Pulmonary hypertension (PH) is classified based on the underlying disease and its treatment is aimed at reducing

2016 Acta veterinaria Scandinavica

11. Ehrlichiosis in Household Dogs and Parasitized Ticks in Kerman-Iran: Preliminary Zoonotic Risk Assessment Full Text available with Trip Pro

Ehrlichiosis in Household Dogs and Parasitized Ticks in Kerman-Iran: Preliminary Zoonotic Risk Assessment Ehrlichiosis is an emerging tick-borne zoonotic disease caused by the family of Anaplasmatacea. Recently, outbreak of human monocytic ehrlichiosis was reported in northern part of Iran. Besides, serological evidence of canine monocytic ehrlichiosis caused by Ehrlichia canis was reported from southeastern of Iran but the epidemiology of this disease is almost undetermined in Iran (...) to infected and non-infected dogs. A similar method was utilized for DNA extraction and PCR in human samples.Ehrlichial DNA was detected by PCR in six percent of Rhipicephalus sanguineus tick pools and 9% of the examined dogs. No positive sample was detected among the 67 examined human bloods.Ehrlichiosis could be considered as an emerging canine disease but owning a dog should not be considered a major risk factor for ehrlichiosis in humans. Further serological and molecular studies in different parts

2016 Journal of Arthropod-Borne Diseases

12. Ehrlichiosis (Overview)

, MD, MBA, FAAP, FIDSA; Chief Editor: Michael Stuart Bronze, MD Share Email Print Feedback Close Sections Sections Ehrlichiosis Overview Background Ehrlichiosis is an infection of white blood cells that affects various mammals, including mice, cattle, dogs, deer, horses, sheep, goats, and humans. [ , ] (See the image below.) Female Lone Star tick, Amblyomma americanum, found in the southeastern and Midatlantic United States. It is a vector of several zoonotic diseases, including human monocytic (...) in the cytoplasm of infected mononuclear phagocytic cells after 5-7 days. The type of ehrlichiosis that develops varies and depends on the infecting species and the type of leukocyte infected. Human granulocytic anaplasmosis (HGA), formerly known as human granulocytic ehrlichiosis (HGE), is caused by Anaplasma phagocytophilum, which infect granulocytes. In contrast, human monocytic ehrlichiosis (HME) is caused by Ehrlichia chaffeensis, which infects monocytes. (See Table, below.) (See Etiology.) HGA and HME

2014 eMedicine.com

13. Ehrlichiosis (Follow-up)

) infection has been transmitted. Trying to burn the tick; smothering it in alcohol, petroleum jelly, or similar substance; or twisting or rubbing the tick off is not recommended. These methods have not been shown to decrease the time the tick remains embedded and risk breaking the tick body open and releasing otherwise-contained bacteria. No role exists for the use of antimicrobial prophylaxis after a tick bite in the prevention of human monocytic ehrlichiosis (HME) or human granulocytic anaplasmosis (...) reaction. Ann Intern Med . 1994 May 1. 120(9):730-5. . Cunha BA, Chandrankunnel JG, Hage JE. Ehrlichia chaffeensis human monocytic ehrlichiosis with pancytopenia. Scand J Infect Dis . 2012 Jun. 44(6):473-4. . Nayak SU, Simon GL. Myocarditis after trimethoprim/sulfamethoxazole treatment for ehrlichiosis. Emerg Infect Dis . 2013 Dec. 19(12):1975-7. . . Sachdev SH, Joshi V, Cox ER, Amoroso A, Palekar S. Severe life-threatening Ehrlichia chaffeensis infections transmitted through solid organ

2014 eMedicine.com

14. Ehrlichiosis (Treatment)

) infection has been transmitted. Trying to burn the tick; smothering it in alcohol, petroleum jelly, or similar substance; or twisting or rubbing the tick off is not recommended. These methods have not been shown to decrease the time the tick remains embedded and risk breaking the tick body open and releasing otherwise-contained bacteria. No role exists for the use of antimicrobial prophylaxis after a tick bite in the prevention of human monocytic ehrlichiosis (HME) or human granulocytic anaplasmosis (...) reaction. Ann Intern Med . 1994 May 1. 120(9):730-5. . Cunha BA, Chandrankunnel JG, Hage JE. Ehrlichia chaffeensis human monocytic ehrlichiosis with pancytopenia. Scand J Infect Dis . 2012 Jun. 44(6):473-4. . Nayak SU, Simon GL. Myocarditis after trimethoprim/sulfamethoxazole treatment for ehrlichiosis. Emerg Infect Dis . 2013 Dec. 19(12):1975-7. . . Sachdev SH, Joshi V, Cox ER, Amoroso A, Palekar S. Severe life-threatening Ehrlichia chaffeensis infections transmitted through solid organ

2014 eMedicine.com

15. Ehrlichiosis (Overview)

, MD, MBA, FAAP, FIDSA; Chief Editor: Michael Stuart Bronze, MD Share Email Print Feedback Close Sections Sections Ehrlichiosis Overview Background Ehrlichiosis is an infection of white blood cells that affects various mammals, including mice, cattle, dogs, deer, horses, sheep, goats, and humans. [ , ] (See the image below.) Female Lone Star tick, Amblyomma americanum, found in the southeastern and Midatlantic United States. It is a vector of several zoonotic diseases, including human monocytic (...) in the cytoplasm of infected mononuclear phagocytic cells after 5-7 days. The type of ehrlichiosis that develops varies and depends on the infecting species and the type of leukocyte infected. Human granulocytic anaplasmosis (HGA), formerly known as human granulocytic ehrlichiosis (HGE), is caused by Anaplasma phagocytophilum, which infect granulocytes. In contrast, human monocytic ehrlichiosis (HME) is caused by Ehrlichia chaffeensis, which infects monocytes. (See Table, below.) (See Etiology.) HGA and HME

2014 eMedicine Pediatrics

16. Ehrlichiosis (Treatment)

) infection has been transmitted. Trying to burn the tick; smothering it in alcohol, petroleum jelly, or similar substance; or twisting or rubbing the tick off is not recommended. These methods have not been shown to decrease the time the tick remains embedded and risk breaking the tick body open and releasing otherwise-contained bacteria. No role exists for the use of antimicrobial prophylaxis after a tick bite in the prevention of human monocytic ehrlichiosis (HME) or human granulocytic anaplasmosis (...) reaction. Ann Intern Med . 1994 May 1. 120(9):730-5. . Cunha BA, Chandrankunnel JG, Hage JE. Ehrlichia chaffeensis human monocytic ehrlichiosis with pancytopenia. Scand J Infect Dis . 2012 Jun. 44(6):473-4. . Nayak SU, Simon GL. Myocarditis after trimethoprim/sulfamethoxazole treatment for ehrlichiosis. Emerg Infect Dis . 2013 Dec. 19(12):1975-7. . . Sachdev SH, Joshi V, Cox ER, Amoroso A, Palekar S. Severe life-threatening Ehrlichia chaffeensis infections transmitted through solid organ

2014 eMedicine Pediatrics

17. Ehrlichiosis (Diagnosis)

Abuhammour, MD, MBA, FAAP, FIDSA; Chief Editor: Michael Stuart Bronze, MD Share Email Print Feedback Close Sections Sections Ehrlichiosis Overview Background Ehrlichiosis is an infection of white blood cells that affects various mammals, including mice, cattle, dogs, deer, horses, sheep, goats, and humans. [ , ] (See the image below.) Female Lone Star tick, Amblyomma americanum, found in the southeastern and Midatlantic United States. It is a vector of several zoonotic diseases, including human monocytic (...) in the cytoplasm of infected mononuclear phagocytic cells after 5-7 days. The type of ehrlichiosis that develops varies and depends on the infecting species and the type of leukocyte infected. Human granulocytic anaplasmosis (HGA), formerly known as human granulocytic ehrlichiosis (HGE), is caused by Anaplasma phagocytophilum, which infect granulocytes. In contrast, human monocytic ehrlichiosis (HME) is caused by Ehrlichia chaffeensis, which infects monocytes. (See Table, below.) (See Etiology.) HGA and HME

2014 eMedicine.com

18. Ehrlichiosis (Follow-up)

) infection has been transmitted. Trying to burn the tick; smothering it in alcohol, petroleum jelly, or similar substance; or twisting or rubbing the tick off is not recommended. These methods have not been shown to decrease the time the tick remains embedded and risk breaking the tick body open and releasing otherwise-contained bacteria. No role exists for the use of antimicrobial prophylaxis after a tick bite in the prevention of human monocytic ehrlichiosis (HME) or human granulocytic anaplasmosis (...) reaction. Ann Intern Med . 1994 May 1. 120(9):730-5. . Cunha BA, Chandrankunnel JG, Hage JE. Ehrlichia chaffeensis human monocytic ehrlichiosis with pancytopenia. Scand J Infect Dis . 2012 Jun. 44(6):473-4. . Nayak SU, Simon GL. Myocarditis after trimethoprim/sulfamethoxazole treatment for ehrlichiosis. Emerg Infect Dis . 2013 Dec. 19(12):1975-7. . . Sachdev SH, Joshi V, Cox ER, Amoroso A, Palekar S. Severe life-threatening Ehrlichia chaffeensis infections transmitted through solid organ

2014 eMedicine Pediatrics

19. Ehrlichiosis (Diagnosis)

Abuhammour, MD, MBA, FAAP, FIDSA; Chief Editor: Michael Stuart Bronze, MD Share Email Print Feedback Close Sections Sections Ehrlichiosis Overview Background Ehrlichiosis is an infection of white blood cells that affects various mammals, including mice, cattle, dogs, deer, horses, sheep, goats, and humans. [ , ] (See the image below.) Female Lone Star tick, Amblyomma americanum, found in the southeastern and Midatlantic United States. It is a vector of several zoonotic diseases, including human monocytic (...) in the cytoplasm of infected mononuclear phagocytic cells after 5-7 days. The type of ehrlichiosis that develops varies and depends on the infecting species and the type of leukocyte infected. Human granulocytic anaplasmosis (HGA), formerly known as human granulocytic ehrlichiosis (HGE), is caused by Anaplasma phagocytophilum, which infect granulocytes. In contrast, human monocytic ehrlichiosis (HME) is caused by Ehrlichia chaffeensis, which infects monocytes. (See Table, below.) (See Etiology.) HGA and HME

2014 eMedicine Pediatrics

20. Tick-Borne Diseases, Ehrlichiosis (Treatment)

to identify what (if any) infection has been transmitted. Trying to burn the tick; smothering it in alcohol, petroleum jelly, or similar substance; or twisting or rubbing the tick off is not recommended. These methods have not been shown to decrease the time the tick remains embedded and risk breaking the tick body open and releasing otherwise-contained bacteria. No role exists for the use of antimicrobial prophylaxis after a tick bite in the prevention of human monocytic ehrlichiosis (HME) or human (...) polymerase chain reaction. Ann Intern Med . 1994 May 1. 120(9):730-5. . Cunha BA, Chandrankunnel JG, Hage JE. Ehrlichia chaffeensis human monocytic ehrlichiosis with pancytopenia. Scand J Infect Dis . 2012 Jun. 44(6):473-4. . Nayak SU, Simon GL. Myocarditis after trimethoprim/sulfamethoxazole treatment for ehrlichiosis. Emerg Infect Dis . 2013 Dec. 19(12):1975-7. . . Sachdev SH, Joshi V, Cox ER, Amoroso A, Palekar S. Severe life-threatening Ehrlichia chaffeensis infections transmitted through solid organ

2014 eMedicine Emergency Medicine

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