Dual infection with Ehrlichia chaffeensis and a spotted fever group rickettsia: a case report.

Journal Article (Journal Article)

Well-documented cases of simultaneous human infection with more than one tick-borne pathogen are rare. To our knowledge only two dual infections have been reported: simultaneous human infection with the agent of human granulocytic ehrlichiosis and Borrelia burgdorferi and simultaneous human infection with B. burgdorferi and Babesia microti (1-2). Rocky Mountain spotted fever has long been known to be endemic in North Carolina; cases of human ehrlichial infection were recognized there soon after Ehrlichia chaffeensis was recognized as an important cause of tick-borne disease in the southeastern United States. Because both Rocky Mountain spotted fever and ehrlichiosis are prevalent in North Carolina, occasional cases of simultaneous human infection by rickettsial and ehrlichial agents would not be surprising; however, no such cases seem to have been reported.

Full Text

Duke Authors

Cited Authors

  • Sexton, DJ; Corey, GR; Carpenter, C; Kong, LQ; Gandhi, T; Breitschwerdt, E; Hegarty, B; Chen, SM; Feng, HM; Yu, XJ; Olano, J; Walker, DH; Dumler, SJ

Published Date

  • April 1998

Published In

Volume / Issue

  • 4 / 2

Start / End Page

  • 311 - 316

PubMed ID

  • 9621205

Pubmed Central ID

  • PMC2640120

International Standard Serial Number (ISSN)

  • 1080-6040

Digital Object Identifier (DOI)

  • 10.3201/eid0402.980222


  • eng

Conference Location

  • United States