Emerging Infectious Disease ISSN: 1080-6059

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Human Monocytotropic Ehrlichiosis, Missouri

Juan P. Olano*

, Edwin Masters†, Wayne Hogrefe‡, and David H. Walker*

Author affiliations: *University of Texas Medical Branch, Galveston, Texas, USA; †Premier Family Physicians, Cape Girardeau, Missouri, USA; ‡Focus Technologies, Cypress, California, USA

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Table 2

Selected epidemiologic and laboratory results for 29 patients with human monocytotropic ehrlichiosis (HME). Cape Girardeau, 1997–1999

Patient no.	Age (y)	Sex	Y of diagnosis	PCR result^a	IFA titer acute phase	IFA titer convalescent	WBC x 10⁹/L	Platelets x 10⁹/L
1	44	M	1999	+	1:512	1:1024	1.9	90
2	42	M	1999	+	1:256	1:512	3.5	114
3	63	F	1999	–	1:1024	1:2048	6.4	83
4	53	M	1999	+	Neg	1:512	4.5	180
5	77	F	1999	–	1:1024	NA	3.5	44
6	43	M	1999	+	1:512	NA	1.9	89
7	48	M	1999	+	1:128	1:2048	4.0	NA
8	30	M	1999	–	1:1024	NA	NA	NA
9	28	F	1999	+	1:512	NA	5.4	NA
10	22	F	1998	+	Neg	1:128	2.1	142
11	59	M	1998	+	Neg	1:256	8.8	229
12	67	M	1998	+	Neg	1:512	4.2	36
13	78	F	1998	+	Neg	NA	NA	NA
14	49	F	1998	+	1:4096	1:4096	2.6	271
15	65	M	1998	–	1:256	1:1024	4.3	207
16	26	M	1998	–	1:1024	NA	2.9	106
17	44	F	1998	–	1:64	NA	10.0	397
18	27	M	1998	–	1:64	NA	8.5	246
19	24	F	1998	+	1:256	NA	2.4	69
20	59	M	1998	–	1:1024	NA	4.9	102
21	65	M	1998	–	1:256	NA	4.4	121
22	52	M	1998	–	1:1024	1:1024	1.2	39
23	54	M	1998	+	1:128	NA	NA	NA
24	15	M	1997	–	Neg	1:64	6.4	308
25	70	M	1997	+	Neg	NA	5.0	222
26	47	F	1997	+	Neg	1:512	NA	NA
27	31	M	1997	+	Neg	NA	3.5	56
28	67	M	1997	–	1:2048	NA	5.2	208
29	59	M	1997	–	1:4096	NA	6.9	166

^aSummary of all target genes used in the study: PCR, polymerase chain reaction; IFA, immunofluorescent assay; WBC, white blood cells; +, positive; –, negative; M, male; F, female; NA, not available.

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Emerging Infectious Disease ISSN: 1080-6059

Volume 9, Number 12—December 2003

Research

Human Monocytotropic Ehrlichiosis, Missouri

Table 2

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