Gernot Walder1, Dietmar Fuchs, Mario Sarcletti, Klaus Berek, Barbara Falkensammer, Klaus Huber, Miro Petrovec, Manfred P Dierich, Reinhard Würzner
Int J Med Microbiol. 2006 May;296 Suppl 40:297-301. doi: 10.1016/j.ijmm.2005.12.001. Epub 2006 Mar 10.
We report five consecutive cases of Anaplasma (A.) phagocytophilum infection (the causative agent of human granulocytic anaplasmosis (HGA)) from western Austria. All infections were acquired between June and August in 2003 and 2004 in the Inn valley (Tyrol, Austria). Four patients required hospitalisation, one patient was treated as an outpatient. During the acute stage of illness, laboratory findings included thrombocytopenia (5/5), elevated C-reactive protein (5/5), elevated neopterin (5/5), elevated lactate dehydrogenase (4/5), and elevation of liver enzymes (4/5). Leukopenia (3/5) and elevated procalcitonin (2/5) were less frequently observed. All patients were treated with tetracyclines, which led to prompt improvement of the clinical conditions. Anti-platelet antibodies were observed in one of four patients, but remained unchanged after complete covalescence.
Links: PMID: 16531117; DOI: 10.1016/j.ijmm.2005.12.001