Ehrlichia chaffeensis is causative agent of ?
HME
HGE
Glandular fever
None
Ans. is 'a' i.e., HME Ehrlichiae These are gram negative, obligate intracellular bacteria which have affinity towards blood cells. They grow within phagosomes of phagocytes as mulberry-like clusters called morula. They are tick-borne. Three human infections caused by this group of organisms have been identified :? 1) Human monocytic ehrlichiosis (HME) - It is caused by E. chaffeensis, and transmitted by Amblyomma ticks. - Deer and rodents are believed to be reservoir hosts. - There is leucopenia, thrombocytopenia and elevated liver enzymes. 2) Human granulocytic ehrlichiosis (HGE) - It is caused by E. equi (E. phagocytophila), and transmitted by ixodes ticks. - Deer, cattle and sheep are suspected reservoirs. - There is leucopenia and thrombocytopenia. 3) Glandular like fever - It is caused by Ehrlichia sennetsu - No ahopod vector has been identified and infection is caused by ingestion of fish carrying infected flukes. - Theres is lymphoid hyperplasia with atypical lymphocytosis. Doxycycline is recommended for treatment of ehrlichiosis.