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Published on: February 20, 2015
[Neoehrlichiosis as a cause of feaver of unknown origin]
Bernhard Dumoulin1, Tuhama Chahoud Schriefer1, Frank Oliver Henes2
1III. Medizinische Klinik und Poliklinik, Klinik für Nephrologie mit Sektion Rheumatologie, Universitätsklinikum Hamburg-Eppendorf UKE, Martinistr. 52, 20246, Hamburg, Deutschland.
Abstract:
Establishing a diagnosis in cases of fever of unknown origin (FUO) in immunocompromised patients can be difficult. In 25-35% infectious diseases are the underlying cause. This article reports the case of a 74-year-old woman with a 5-month history of fever. Through open biopsy of the femoral shaft and microbiological analysis, a diagnosis of neoehrlichiosis could be established. After initiation of treatment with doxycycline, the symptoms quickly resolved resulting in a complete recovery.
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