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Volume 26, Number 12—December 2020
Dispatch

Human Monocytic Ehrlichiosis, Mexico City, Mexico

Virginia E. Alcántara-Rodríguez1, Sokani Sánchez-Montes1, Hugo Contreras, Pablo Colunga-Salas1, Lauro Fierro-Flores, Sergio Avalos, Francisco Rodríguez-Rangel, Ingeborg Becker, and David H. Walker
Author affiliations: Secretaría de Salud de la Ciudad de México, Mexico City, Mexico (V.E. Alcántara-Rodríguez, H. Contreras, L. Fierro-Flores, S. Avalos, F. Rodríguez-Rangel); Universidad Veracruzana, Veracruz, Mexico (S. Sánchez-Montes); Universidad Nacional Autónoma de México, Mexico City (S. Sánchez-Montes, P. Colunga-Salas, I. Becker); University of Texas Medical Branch, Galveston, Texas, USA (D.H. Walker)

Main Article

Table

Laboratory results for a patient with human monocytic ehrlichiosis, Mexico City, Mexico, 2017*

Day/date Hematologic parameter
Blood chemistry parameter
Hepatic parameter
LEU, × 103/μL NEU, % LYM, % ERY, × 106/μL Hb, g/dL HCT, % MCV, fL MCH, pg ESR, mm/h PLT, × 103/μL MPV, fL GLU, mg/dL Urea, mg/dL CRE, mg/L Na, mmol/L K, mmol/L Cl, mmol/L Ca, mg/dL Mg, mg/dL IP, mg/dL TB, mg/dL DB, mg/dL IB, mg/dL PB, mg/dL ALB, g/dL AST, U/L ALT, U/L AP, U/L GGT, U/L GLB, g/dL A/G
1/Mar 3 18.5 91 3.3 4.8 14.4 43.0 90 29 12.0 253 8.5 139 17 1.0 141 3.6 104 8.9 1.9 3.1 2.2 0.4 1.8 6 3.8 51 27 66 15 2.2 1.7
14/Mar 25 20.0 92 2.8 3.1 9.5 29.2 95 31 16.7 616 6.8 78 21 0.6 134 3.8 105 NR NR NR 1.5 0.5 1.0 4.8 2.7 43 46 76 349 2.1 1.3
16/Mar 27 10.7 78 5.8 2.4 7.5 22.0 92 30 16.5 688 6.3 76 41 0.8 140 4.1 113 7.8 1.7 4.0 1.3 0.7 0.6 4.3 2.2 66 38 75 35 2.1 1.0
18/Mar 29 21.7 87 3.3 3.2 9.6 29.4 92 33 18.1 850 6.8 72 32 0.8 141 4.6 115 8.0 1.8 3.8 1.3 0.4 0.9 4.1 1.8 65 38 80 35 2.3 0.8
20/Mar 31 20.9 90 3.2 3.4 10.1 31.0 90 29 17.9 779 7.3 99 21 0.6 141 3.5 115 7.5 1.6 2.7 NR NR NR NR NR NR NR NR NR NR NR
23/Apr 3 12.5 86 5.5 3.7 10.6 32.9 90 29 18.8 523 8.6 108 17 0.6 146 3.2 113 7.2 2.2 2.4 1.1 0.3 0.8 4 2.2 35 18 60 68 1.8 1.2
27/Apr 7 16.4 83 9.4 3.8 11.3 34.6 91 30 17.4 688 8.4 185 28 0.3 146 2.7 105 7.5 2.0 2.3 NR NR NR NR NR NR NR NR NR NR NR
37/Apr 17 11.2 69 21.0 3.5 10.8 32.0 90 34 18.0 657 7.7 122 26 0.4 135 4.0 104 8.4 1.8 3.8 0.5 0.2 0.3 5.8 2.4 90 133 423 684 3.4 0.7
48/Apr 28 11.4 76 15.0 2.6 7.7 23.0 89 33 17.4 458 7.8 NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR
52/ May 2 10.3 75 14.0 3.3 9.9 29.0 90 30 16.0 710 6.8 NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR
55/May 5 6.0 66 22.0 3.4 9.9 30.0 89 29 16.0 606 7.5 NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR
65/May 15 32.7 94 4.7 3.3 9.6 29.0 87 29 18.2 108 12 112 66 0.7 150 3.5 120 7.4 2.2 4.9 NR NR NR NR NR NR NR NR NR NR NR

*Bold indicates that the value is outside the reference range. A/G, albumin/globulin ratio; ALB, albumin; ALT, alanine aminotransferase; AP, alkaline phosphatase; AST, aspartate aminotransferase; Ca, calcium; Cl, chloride; CRE, creatinine; ERY, erythrocytes; DB, direct bilirubin; ESR, erythrocyte sedimentation rate; GGT, γ-glutamyltransferase; GLB, globulin; GLU, glucose; Hb, hemoglobin; HCT, hematocrit; IB, indirect bilirubin; IP, inorganic phosphate; K, potassium; LEU, leukocytes; LYM, lymphocytes; MCH, mean corpuscular hemoglobin; MCV, mean corpuscular volume; Mg, magnesium; MPV, mean platelet volume; Na, sodium; NEU, neutrophils; NR, no results; PB, partial bilirubin; PLT, platelets; TB, total bilirubin.

Main Article

1These authors contributed equally to this article.

Page created: September 08, 2020
Page updated: November 19, 2020
Page reviewed: November 19, 2020
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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