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Volume 21, Number 10—October 2015
Research

Human Infection with Ehrlichia muris–like Pathogen, United States, 2007–20131

Diep K. Hoang Johnson2, Elizabeth Schiffman2, Jeffrey P. Davis, David Neitzel, Lynne M. Sloan, William L. Nicholson, Thomas R. Fritsche, Christopher R. Steward, Julie A. Ray, Tracy K. Miller, Michelle A. Feist, Timothy S. Uphoff, Joni J. Franson, Amy L. Livermore, Alecia K. Deedon, Elitza S. Theel, and Bobbi PrittComments to Author 
Author affiliations: Wisconsin Department of Health Services, Madison, Wisconsin, USA (D.K. Hoang Johnson, J.P. Davis, C.R. Steward, A.K. Deedon); Minnesota Department of Health, St. Paul, Minnesota, USA (E.K. Schiffman, D.F. Neitzel, J.A. Ray); Mayo Clinic, Rochester, Minnesota, USA (L.M. Sloan, E.S. Theel, B.S. Pritt); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (W.L. Nicholson); Marshfield Clinic, Marshfield, Wisconsin, USA (T.R. Fritsche, T.S. Uphoff); North Dakota Department of Health, Bismarck, North Dakota, USA (T.K. Miller, M.A. Feist); Mayo Clinic Health System, Eau Claire, Wisconsin, USA (J.J. Franson); Mayo Medical Laboratories, Andover, Massachusetts, USA (A.L. Livermore).

Main Article

Figure 1

Geographic distribution of the likely county in Minnesota or Wisconsin in which exposure to the Ehrlichia muris–like (EML) pathogen occurred in relation to the risk for Lyme disease, babesiosis, and anaplasmosis. The risk of tickborne disease is based on county-specific mean annual reported incidence of confirmed Lyme disease and confirmed and probable human anaplasmosis and babesiosis cases in Minnesota and Wisconsin during 2007–2013. Counties with ≤10 cases/100,000 population were classified a

Figure 1. Geographic distribution of the likely county in Minnesota or Wisconsin in which exposure to the Ehrlichia muris–like (EML) pathogen occurred in relation to the risk for Lyme disease, babesiosis, and anaplasmosis. The risk of tickborne disease is based on county-specific mean annual reported incidence of confirmed Lyme disease and confirmed and probable human anaplasmosis and babesiosis cases in Minnesota and Wisconsin during 2007–2013. Counties with ≤10 cases/100,000 population were classified as low risk; counties with 10–24.9 cases/100,000 population were classified as moderate risk; and counties with >25 cases/100,000 population were classified as high risk.

Main Article

1Preliminary data from this study were presented at the American Society for Clinical Laboratory Science–Minnesota meeting, March 8, 2012, St. Cloud, Minnesota, USA; the Interscience Conference of Antimicrobial Pathogens and Chemotherapy, September 9–12, 2012, San Francisco, California, USA; the Emerging Infections in Clinical Practice and Public Health Continuing Medical Education Conference, November 16, 2012, Minneapolis, Minnesota, USA; the Interscience Conference of Antimicrobial Pathogens and Chemotherapy, September 10–13, 2013, Washington, DC, USA; the Entomological Society of America annual meeting, November 10–13, 2013, Austin, Texas, USA; the American Society of Tropical Medicine and Hygiene annual meeting, November 13–17, 2013, Washington, DC, USA; the European Congress of Clinical Microbiology and Infectious Diseases, May 10–13, 2014, Barcelona, Spain; and the International Conference on Diseases in Nature Communicable to Man, August 10–12, 2014, Vancouver, British Columbia, Canada.

2These authors contributed equally to this article.

Page created: September 22, 2015
Page updated: September 22, 2015
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