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Wiener Medizinische Wochenschrift

, Volume 160, Issue 3–4, pp 91–93 | Cite as

First described case of human granulocytic anaplasmosis in a patient in Eastern Austria

  • Ursula Maria VoglEmail author
  • Elisabeth Presterl
  • Gerold Stanek
  • Michael Ramharter
  • Klaus-Bernhard Gattringer
  • Wolfgang Graninger
Case report

Summary

A 64-year-old otherwise healthy patient presented with high fever, thrombocytopenia, elevated liver enzymes and an erythema on the belly. The patient remembered a tick bite four weeks ago when walking with his dog before the specific symptoms started. A meningococcal disease or hematological illness was excluded. The serological results for tick-borne diseases showed a high IgG antibody titer for Anaplasma phagocytophila. All symptoms and laboratory parameters normalized after one week of hospitalization. The patient received no treatment and recovered completely. This is the first confirmed case of human granulocytic anaplasmosis (HGA) in Eastern Austria.

Keywords

Anaplasma Fever Tick bite Thrombocytopenia Erythema 

Erster Anaplasmose-Fall nach Zeckenbiss bei einem Patienten in Ost-Österreich

Zusammenfassung

Ein 64-jähriger Patient gelangt zur Aufnahme mit Fieber, Thrombozytopenie, erhöhten Leberenzymen und einem Exanthem am Stamm. Anamnestisch berichtet der Patient über einen Zeckenbiss vier Wochen vor Beginn der Symptome. Eine Erkrankung mit Meningokokken oder eine hämatologische Grunderkrankung wurden ausgeschlossen. Im Anschluss wurden serologische Untersuchungen hinsichtlich des Zeckenbisses durchgeführt. Die Ergebnisse zeigten einen hohen IgG-Antikörper-Titer für Anaplasma phagozytophilia. Nach einer Woche normalisierten sich alle Laborparameter und Symptome bildeten sich zurück. Der Patient erhielt keine Therapie und erholte sich komplett. Wir berichten über den ersten Fall einer Anaplasmose in Ost-Österreich

Schlüsselwörter

Anaplasmose Fieber Zeckenbiss Thrombozytopenie Erythem 

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Ursula Maria Vogl
    • 1
    Email author
  • Elisabeth Presterl
    • 2
  • Gerold Stanek
    • 3
  • Michael Ramharter
    • 2
  • Klaus-Bernhard Gattringer
    • 2
  • Wolfgang Graninger
    • 2
  1. 1.Division of Oncology, Department of Medicine IMedical University of ViennaViennaAustria
  2. 2.Division of Infectious Diseases and Tropical Medicine, Department of Medicine IMedical University of ViennaViennaAustria
  3. 3.Department of Microbiology, Institute of Hygiene and MicrobiologyMedical University of ViennaViennaAustria

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