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CASE REPORT
 
 

Clinical and molecular features of one case of human infection with Anaplasma phagocytophilum from Podlaskie Province in eastern Poland

 
1
Department of Parasitology, University of Warsaw, Poland
2
Department of Infectious Diseases and Neuroinfections, Medical University, Białystok, Poland
Ann Agric Environ Med 2015;22(3):414–417
KEYWORDS:
ABSTRACT:
The article focuses on the clinical and laboratory diagnosis of human granulocytic anaplasmosis (HGA) caused by [i]Anaplasma phagocytophilum[/i] infection in one of 28 patients (3.6%; n=1/28 tested samples) with early Lyme borreliosis. The clinical and laboratory results of a 42-year-old patient fulfilled criteria of confirm anaplasmosis and suggest an acute stage of illness. The described case provides strong presumptive evidence that infection in this patient was acquired with a pathogenic strain of [i]A. phagocytophilum[/i] through a tick bite. A positive DNA with PCR for A. phagocytophilum infection was sequenced and analyzed phylogenetically. Physicians should consider the possibility of anaplasmosis in patients with early Lyme borreliosis, and [i]A. phagocytophilum[/i] should be considered as a differential diagnosis in all patients from an endemic region of potential high risk factors for tick-borne diseases.
eISSN:1898-2263
ISSN:1232-1966