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World Journal of Nephrology 2023年第3期12卷 66-72页

作者： Maulik K Lathiya Praveen Errabelli Salvatore Mignano Susan M Cullinan Department of Emergency Medicine Mayo Clinic Health SystemEau ClaireWI 54703United States Department of Nephrology Mayo Clinic Health SystemEau ClaireWI 54703United States Department of Pathology Mayo ClinicRochesterMN 55905United States

BACKGROUND Anaplasmosis is a tick-borne disease with a range of clinical manifestations,from a flu-like illness with fever and myalgias to a severe systemic disease with multisystem organ failure.Although renal involvement is not a common presentation,there have been few cases reporting acute kidney injury from Anaplasmosis.CASE SUMMARY We present a 55-year-old female with Anaplasmosis who developed acute kidney injury due to membranoproliferative glomerulonephritis(MPGN).The patient originally presented with cough and shortness of breath.She was admitted to the hospital with a diagnosis of community acquired pneumonia and received antibiotics.During the hospital course she developed severe acute renal failure.Initial serological work up didn’t provide any conclusive diagnosis.Hence,she underwent kidney biopsy which showed MPGN pattern suggesting autoimmune,multiple myeloma or infectious etiology.Extensive work up was undertaken which was negative for autoimmune diseases,vasculitis panel,paraproteinemias but tested positive for IgG anaplasma with high titers indicating Anaplasmosis.CONCLUSION Our case shows a unique presentation of severe acute renal failure from MPGN from tick borne illness.MPGN is usually seen with autoimmune diseases,hepatitis C virus infections,paraproteinemias.Hence,we suggest that tick borne illness should also be considered when evaluating acute renal failure cases in tick borne prevalent regions.

关键词： Acute kidney injury Membranoproliferative glomerulonephritis Tick-borne Anaplasmosis Case report

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流行和在旁遮普(印度) 的奶店动物的 Anaplasma marginale 感染的 haemato 生物化学的侧面

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Asian Pacific Journal of Tropical Medicine 2013年第2期6卷 161-166页

作者： Ashuma Amrita Sharma Lachhman Das Singla Paramjit Kaur Mandeep Singh Bal Balwinder Kaur Batth Prayag Dutt Juyal Department of Veterinary Parasitology College of Veterinary ScienceGuru Angad Dev Veterinary and Animal Sciences UniversityLudhiana-141004India Animal Disease Research Centre Guru Angad Dev Veterinary and Animal Sciences UniversityLudhiana-141004India

Objective:To do the systematic comparison of prevalence of Anaplasmosis by PCR and Giemsa stained thin blood smear(GSTBS) based parasitological assays in dairy cattle of Punjab,which has not been reported yet.To analyse the haematobiochemical alterations in infected animals to arrive at the conclusion regarding the pathogenicity induced by Anaplasma marginale (A.marginale) in latent and patent infection.Methods:Study was conducted on 320 animals (236 cows,62 calves and 22 buffaloes) of Punjab,India.PCR on genome of A.marginale was performed by targeting msp1βgene using specific primers BAP-2/AL34S,amplifies products of size 407 bp.Questionnaires based data on the characteristics of the infected animals and management strategies of the farm were collected and correlated.Results:Higher prevalence and more significant association was observed in the PCR based molecular diagnosis(P=0.00012) as compared to that in GSTBS(P=0.028 8) based diagnosis with various regions under study.With respect to the regions,highest prevalence was recorded in Ferozepur by PCR based diagnosis, while that in Jalandhar by GSTBS examination.Similar marked significant association of the PCR based diagnosis with the age of the animals under study(P=0.00013) was observed elucidating no inverse age resistance to A.marginale in cow calves.Haematobiochemical profile of infected animals revealed marked anemia,liver dysfunction and increase globulin concentrate indicating rise in immunoglobulin level to counteract infection.Conclusions:PCR is far more sensitive in detecting the disease even in latent infection which may act as nidus for spread of Anaplasmosis to susceptible animals in endemic areas.Severity of anaemia and liver dysfunction were comparable both in patent as well as latent infection indicating pathogenicity of both.

关键词： Anaplasmosis Dairy animals Haemato-biochemical Prevalence Polymerase chain reaction

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Chronic Lyme Disease Complex and Its Commonly Undiagnosed Primary and Secondary Co-Infections

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Open Journal of Medical Microbiology 2015年第3期5卷 143-158页

作者： Aaron Smith John Oertle Dan Warren Dino Prato Envita Scottsdale AZ USA

Chronic Lyme disease complex describes the burden carried by patients infected with Borrelia burgdorferi as well as other co-infections or secondary co-infections (opportunistic infections). These infections can cause a significant burden on patients more so than Lyme disease alone. Along with the many underdiagnosed cases of Lyme disease throughout the world exists numerous undiagnosed co-infection and secondary co-infections leading to debilitating symptoms for many patients. The potential for co-infections varies by location as well as to the exposure to various species of ticks. Since there is potential for patients to experience several tick bites including those of different species, additional microorganisms also commonly transmitted via tick bite are included that are typically left out of the conversation of potential Borrelia burgdorferi co-infections. The most common co-infections of Lyme disease include Anaplasmosis, babasiosis, bartonellosis and ehrlichiosis. Secondary co-infections or opportunistic infections commonly seen in patients with Lyme disease are also discussed. By helping to establish a comprehensive list of infections associated with Chronic Lyme disease complex may in fact help patients receive a proper diagnosis in order to administer the much needed comprehensive treatments patients deserve.

关键词： Lyme Anaplasmosis Babasiosis Bartonellosis Ehrlichiosis Co-Infections Opportunistic Infection

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