Dr Horowitz : 17,05,17-
This article in Emerging Infectious Diseases predicts gross under reporting of Ehrlichiosis in the Northeast. We do see many patients with positive Ehrlichia titers who do not present with classic symptoms or hematological results suggestive of an active infection (low white cell counts, low platelet counts and elevated liver functions). Although it is helpful to have confirmation of "gross under reporting" of tick-borne diseases, this article does not address the growing problem of Borrelia miyamotoi (relapsing fever) which can be transmitted transovarially, as well as the growing risk of Babesia and Bartonella, which are co-infections often associated with Lyme disease, significantly impacting morbidity.
This article in Emerging Infectious Diseases predicts gross under reporting of Ehrlichiosis in the Northeast. We do see many patients with positive Ehrlichia titers who do not present with classic symptoms or hematological results suggestive of an active infection (low white cell counts, low platelet counts and elevated liver functions). Although it is helpful to have confirmation of "gross under reporting" of tick-borne diseases, this article does not address the growing problem of Borrelia miyamotoi (relapsing fever) which can be transmitted transovarially, as well as the growing risk of Babesia and Bartonella, which are co-infections often associated with Lyme disease, significantly impacting morbidity.
Cet article dans Emerging Infectious Diseases prédit brutalement le
rapport de l'Ehrlichiosis dans le Nord-Est. Nous voyons de nombreux
patients avec des titres Ehrlichia positifs qui ne présentent pas de
symptômes classiques ou des résultats hématologiques suggérant une
infection active (faible taux de blancs, faible taux de plaquettes et
fonctions hépatiques élevées). Bien qu'il soit utile d'avoir une
confirmation de la «déclaration brute» des maladies transmises par les
tiques, cet article ne traite pas du problème croissant de Borrelia
miyamotoi (fièvre récurrente) qui peut être transmis transitoirement,
ainsi que le risque croissant de Babesia et Bartonella , Qui sont des
co-infections souvent associées à la maladie de Lyme, affectant de
manière significative la morbidité.
