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Double Negative T Cell Proportion of CD3+ Cells Present in the Thyroid Microenvironment is an Immunogenomic Marker for Predicting Thyroid Cancer
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Does I-Scan Improve Adenoma Detection Rate Compared to High-Definition Colonoscopy? : A Systematic Review and Meta-Analysis
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Sarcoidosis and increased risk of Colorectal cancer: : A systematic review and Meta-analysis
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Assessing Resident Confidence in Placing a Central Venous Catheter Before and After a Simulation-Based Training Course
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Fresh vs Frozen vs Lyophilized Fecal Microbiota transplant for Recurrent Clostridium Difficile Infection: : A Systematic Review and Network Meta-analysis
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Ehrlichiosis in Southern Ohio: Two case reports and a review of the literature
Get PDFTick-borne disease is becoming more commonplace as humans encroach on endemic regions with high tick preponderance. The incidence of ehrlichiosis is rising in conjunction with the increasing prevalence of its associated vector, Amblyomma americanum. In Ohio, populations of A. americanum have been expanding their range and growing in abundance and distribution. Southern Ohio in particular, has been identified as having a expanding population of E. chaffeensis infected ticks. The initial symptoms of ehrlichiosis are frequently vague and ill-defined. Often patients are not aware of having sustained a tick bite. Successful diagnosis and treatment of ehrlichiosis requires an index of suspicion, an awareness of local epidemiology, and prompt recognition of characteristic laboratory abnormalities consistent with E. chaffeensis infection. Patients in regions where these infections are known to exist, who present during tick season with fever, leukopenia and/or thrombocytopenia, and increased serum transaminase levels, should have ehrlichiosis included in the differential diagnosis. Left untreated, patients with ehrlichiosis can develop severe complications, including death. Doxycyline is the drug of choice for ehrlichiosis and should be initiated in symptomatic patients with a history of tick bite; it should not be withheld while awaiting lab results
A Case of Rhabdomyolysis with Rigors
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Safety and Effectiveness of Endoluminal Vacuum-Assisted Closure for Esophageal Defects: : Systematic Review and Meta-Analysis
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The Impact of Sacubitril / Valsartan Versus ACE/ARB Therapy on Functional Capacity in Heart Failure with Reduced Ejection Fraction
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Daptomycin Induced Rhabdomyolysis and Subsequent Compartment Syndrome: : A Case Report
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