• Southern medical journal · Mar 1999

    Case Reports

    Near fatal acute respiratory distress syndrome in a patient with human ehrlichiosis.

    • R G Patel and M A Byrd.
    • Department of Medicine, University of Mississippi Medical Center, Jackson, USA.
    • South. Med. J. 1999 Mar 1; 92 (3): 333-5.

    AbstractHuman ehrlichiosis is not a common cause of acute respiratory distress syndrome (ARDS). Physicians should be aware of this life-threatening but treatable entity. Progression to ARDS may be related to delay in diagnosis and treatment. Fever, leukopenia, thrombocytopenia, and a history of tick exposure in an endemic area during the spring and summer months should alert the physician to the possibility of human ehrlichiosis, since a definitive diagnosis requires serologic testing that may take weeks to confirm. We describe a case of ARDS resulting from human ehrlichiosis. A unique feature in our case was that despite the early use of doxycycline, the patient had near fatal ARDS that responded dramatically to high doses of steroids.

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