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Ehrlichiosis and anaplasmosis

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Overview

Ehrlichiosis and anaplasmosis are both tick-borne infections caused by rickettsial-like bacteria. These illnesses share similar symptoms, including fever, muscle aches, and headache. If left untreated, they can lead to serious complications. Here’s what you need to know:

Types of Ehrlichiosis and anaplasmosis

  1. Ehrlichiosis:
    • Caused by various species of Ehrlichia bacteria.
    • The primary carrier is the Lone Star tick, found in south-central, southeastern, and eastern coastal states.
    • Symptoms are usually more severe in ehrlichiosis.
  2. Anaplasmosis:
    • Caused by the bacterium Anaplasma phagocytophilum.
    • Carried primarily by deer ticks in the Upper Midwest, northeastern states, and central Canadian provinces.
    • Also carried by the Western black-legged tick in Western coastal states and other tick species in Europe and Asia.

Causes of Ehrlichiosis and anaplasmosis

  • Ehrlichiosis:
    • Transmitted by the Lone Star tick.
    • Other modes of transmission include blood transfusions, mother-to-fetus, and direct contact with infected animals.
  • Anaplasmosis:
    • Primarily carried by deer ticks.
    • Also transmitted by other tick species.

Risk Factors of Ehrlichiosis and anaplasmosis

  • Being outdoors in warm weather during spring and summer months.
  • Living in or visiting areas with a high tick population.

Symptoms of Ehrlichiosis and anaplasmosis

Let’s break down the symptoms of Ehrlichiosis and Anaplasmosis in a concise, pointwise format:
1. Symptoms of Ehrlichiosis:: Moderate Fever: Patients often experience a persistent fever, which may be accompanied by chills. Headache: Intense headaches are common. Muscle Aches or Pains: Pain and discomfort in muscles and joints. General Malaise: A feeling of being unwell, fatigue, and weakness. Joint Pain: Pain and inflammation in the joints. Nausea and Vomiting: Gastrointestinal symptoms may occur. Loss of Appetite: Reduced desire to eat. Confusion or Mental Changes (more common in severe cases). Rash (rare but possible).
2. Symptoms of Anaplasmosis:: Fever: High fever is a hallmark symptom. Chills: Patients may experience sudden chills. Headache: Intense and persistent headaches. Muscle Aches: Pain in muscles and joints. General Malaise: Similar to ehrlichiosis, patients feel unwell. Nausea and Vomiting: Gastrointestinal symptoms. Loss of Appetite: Reduced desire to eat.

Preventions of Ehrlichiosis and anaplasmosis

  • Tick Repellents: Use tick repellents when outdoors.
  • Thorough Body Checks: Inspect your body for ticks after being outside.
  • Proper Tick Removal: Remove ticks promptly and correctly.

Diagnosis of Ehrlichiosis and anaplasmosis

  • Patient history
  • Complete blood count (CBC)
  • Liver function tests
  • Polymerase chain reaction (PCR)
  • Indirect fluorescent antibody (IFA).

Treatment for Ehrlichiosis and anaplasmosis

  • Antibiotic treatment with doxycycline (Doryx, Vibramycin, others).

When to seek medical attention ?

  • If you develop symptoms after a tick bite or possible exposure to ticks, seek medical attention promptly.

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