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Case Reports
Ehrlichiosis presenting with toxic shock-like syndrome and secondary hemophagocytic lymphohistiocytosis.
- Richa Pandey, Rajan Kochar, Susan Kemp, Dumitru Rotaru, and Sudhir V Shah.
- Department of Internal Medicine, University of Arkansas for Medical Sciences Little Rock, AR, USA.
- J Ark Med Soc. 2013 Jun 1;109(13):280-2.
AbstractHuman monocytotropic ehrlichios is a tick borne illness caused by Ehrlichia chaffeensis. Ehrlichiosis presenting with septic shock and severe azotemia is rare, and may be seen in immunocompromised individuals. We present a case of ehrlichia induced toxic shock like syndrome in a patient with rheumatoid arthritis on disease modifying agents. He also had oliguric renal failure requiring dialysis on presentation and later found to have Hemophagocytic Lymphohistiocytosis secondary to severe ehrlichia sepsis.
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