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Table of Contents
Vol. 19, No. 6, 1999
Issue release date: November – December
Section title: Case Report
Am J Nephrol 1999;19:677–681
(DOI:10.1159/000013541)

Human Granulocytic Ehrlichiosis Presenting with Acute Renal Failure and Mimicking Thrombotic Thrombocytopenic Purpura

A Case Report and Review

Modi K.S.a · Dahl D.C.a · Berkseth R.O.a · Schut R.b · Greeno E.c
Divisions of aNephrology, bInfectious Disease, and cHematology, Department of Medicine, Hennepin County Medical Center, Minneapolis, Minn., USA

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Article / Publication Details

First-Page Preview
Abstract of Case Report

Published online: November 26, 1999
Issue release date: November – December

Number of Print Pages: 5
Number of Figures: 2
Number of Tables: 0

ISSN: 0250-8095 (Print)
eISSN: 1421-9670 (Online)

For additional information: http://www.karger.com/AJN

Abstract

We present the case of an elderly female patient presenting with recurrent acute renal failure, fever, altered mental status, abdominal pain, thrombocytopenia and a small number of fragmented red cells on peripheral smear mimicking recurrent thrombotic thrombocytopenic purpura (TTP). Eventually, however, she was diagnosed to have human granulocytic ehrlichiosis (HGE), and after treatment for HGE her clinical and laboratory abnormalities resolved. Ehrlichiosis mimicking TTP, diagnosed at postmortem examination, has been described in a single prior case. As illustrated in this case, there are potential difficulties in diagnosing HGE after plasma exchange, blood transfusion and immunosuppressive therapy. Ehrlichiosis, a potentially curable disease, should be considered in the differential diagnosis of thrombotic microangiopathic disorders.

© 1999 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Case Report

Published online: November 26, 1999
Issue release date: November – December

Number of Print Pages: 5
Number of Figures: 2
Number of Tables: 0

ISSN: 0250-8095 (Print)
eISSN: 1421-9670 (Online)

For additional information: http://www.karger.com/AJN


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