Infections withEhrlichia chaffeensisandEhrlichia ewingiiin Persons Coinfected with Human Immunodeficiency Virus | Zendy

Christopher D. Paddock | Zendy; Scott M. Folk | Zendy; G. Merrill Shore | Zendy; Linda J. Machado | Zendy; Mark M. Huycke | Zendy; Leonard N. Slater | Zendy; Allison M. Liddell | Zendy; Richard S. Buller | Zendy; Gregory A. Storch | Zendy; Thomas P. Monson | Zendy; David Rimland | Zendy; John W. Sumner | Zendy; Joseph Singleton | Zendy; Karen C. Bloch | Zendy; YiWei Tang | Zendy; Steven M. Standaert | Zendy; James E. Childs | Zendy

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Infections withEhrlichia chaffeensisandEhrlichia ewingiiin Persons Coinfected with Human Immunodeficiency Virus

Author(s) -

Christopher D. Paddock,

Scott M. Folk,

G. Merrill Shore,

Linda J. Machado,

Mark M. Huycke,

Leonard N. Slater,

Allison M. Liddell,

Richard S. Buller,

Gregory A. Storch,

Thomas P. Monson,

David Rimland,

John W. Sumner,

Joseph Singleton,

Karen C. Bloch,

YiWei Tang,

Steven M. Standaert,

James E. Childs

Publication year - 2001

Publication title -

clinical infectious diseases

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.44

H-Index - 336

eISSN - 1537-6591

pISSN - 1058-4838

DOI - 10.1086/323981

Subject(s) - ehrlichia chaffeensis , virology , medicine , ehrlichia , pandemic , ehrlichiosis , human immunodeficiency virus (hiv) , covid-19 , infectious disease (medical specialty) , disease , pathology , tick

The clinical course and laboratory evaluation of 21 patients coinfected with human immunodeficiency virus (HIV) and Ehrlichia chaffeensis or Ehrlichia ewingii are reviewed and summarized, including 13 cases of ehrlichiosis caused by E. chaffeensis, 4 caused by E. ewingii, and 4 caused by either E. chaffeensis or E. ewingii. Twenty patients were male, and the median CD4(+) T lymphocyte count was 137 cells/microL. Exposures to infecting ticks were linked to recreational pursuits, occupations, and peridomestic activities. For 8 patients, a diagnosis of ehrlichiosis was not considered until > or =4 days after presentation. Severe manifestations occurred more frequently among patients infected with E. chaffeensis than they did among patients infected with E. ewingii, and all 6 deaths were caused by E. chaffeensis. Ehrlichiosis may be a life-threatening illness in HIV-infected persons, and the influence of multiple factors, including recent changes in the epidemiology and medical management of HIV infection, may increase the frequency with which ehrlichioses occur in this patient cohort.

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