The First Reported Case of Human Monocytic Ehrlichiosis (HME) in Jordan

作     者：Jamal Wadi Al Ramahi Murad Rasheed Nour Hamdan Jamal Wadi Al Ramahi;Murad Rasheed;Nour Hamdan

作者机构：Department of Medicine School of Medicine the University of Jordan Amman Jordan Department of Medicine Division of Neurological Diseases The Specialty Hospital Amman Jordan Department of Medicine The Specialty Hospital Amman Jordan 

出 版 物：《Advances in Infectious Diseases》 (传染病进展（英文）)

年 卷 期：2022年第12卷第4期

页      面：781-787页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Ehrlichiosis Human Monocytic Ehrlichiosis Buffy Coat 

摘      要：Human Ehrlichiosis infrequently occurs and can be missed, but attention to history and a meticulous physical examination would raise the index for suspicion and is documented with proper investigations. We report the first case of human monocytic Ehrlichiosis (HME) in a young female patient who lives in the Suburb city of Madaba, Jordan. She presented with fever, severe headache, skin rash, and confusion. She rapidly deteriorated and was admitted to our hospital. She had arrhythmias, convulsions, lapsed into a coma and respiratory failure and needed non-invasive ventilation. In addition to her clinical and epidemiological characteristics, the diagnosis was confirmed by the buffy coat. She had a swift response to oral doxycycline and was discharged home.