Volume 29, Number 2—February 2023
Dispatch
Neoehrlichiosis in Symptomatic Immunocompetent Child, South Africa
Table
Laboratory and imaging investigations in a case of neoehrlichiosis in a symptomatic immunocompetent child, South Africa
Investigation | Patient result | Reference value or range |
---|---|---|
C-reactive protein, mg/L | 17.2 | <5 |
Leukocytes, × 109 cells/L | 15.8 | 4.5–13.5 |
Neutrophils, × 109 cells/L | 10.98 | 1.50–8.5 |
Lymphocytes, × 109 cells/L | 2.99 | 1.0–6.5 |
Monocytes, × 109 cells/L | 1.50 | 0–0.8 |
Platelets, × 109 cells /L | 219 | 140–420 |
Hemoglobin, g/dL |
12.7 |
11.5–15.5 |
Blood cultures | No growth | NA |
Urine culture | No growth | NA |
Rickettsia conorii/R. africae serology and PCR on blood | Negative | NA |
SARS-CoV-2 PCR, nasopharyngeal swab and serology | Negative | NA |
Cytomegalovirus PCR and serology | Negative | NA |
Epstein-Barr serology | Negative | NA |
Widal test | Negative | NA |
Mastazyme Brucella ELISA | IgM and IgG equivocal | NA |
Multiplex PCR for atypical and viral respiratory pathogens* | Negative | NA |
QuantiFERON Gold test for tuberculosis† |
Negative |
NA |
Imaging | ||
Ultrasound of the abdomen | 15 cm spleen | 10–11 cm at this age |
Chest radiograph | No abnormalities detected | NA |
Cervical and thoracic spine radiograph | No abnormalities detected | NA |
Transthoracic echocardiography | No abnormalities detected | NA |
Magnetic resonance imaging spine | No abnormalities detected | NA |
*FilmArray RP2.1plus (BioFire Diagnostics, https://www.biofiredx.com). †QuantiFERON, https://www.quantiferon.com.
1These authors contributed equally to this article.