Professional paper
https://doi.org/10.37797/ig.41.1.5
Acute Pericarditis in Co-Infection with Anaplasma phagocytophilum and Borrelia burgdorferi - a Case Report
Samira Knežević
; Clinic for Infectious Diseases, Clinical Hospital Centre Rijeka, Croatia
Lari Gorup
; Clinic for Infectious Diseases, Clinical Hospital Centre Rijeka, Croatia
Đurđica Cekinović-Grbeša
; Clinic for Infectious Diseases, Clinical Hospital Centre Rijeka, Croatia; Department for Infectious Diseases, School of Medicine, University of Rijeka, Croatia
Anamarija Flego Bojić
; Clinic for Cardiovascular Diseases, Clinical Hospital Centre Rijeka, Croatia
Irena Slavuljica
; Clinic for Infectious Diseases, Clinical Hospital Centre Rijeka, Croatia; Department for Infectious Diseases, School of Medicine, University of Rijeka, Croatia
Abstract
Lyme borreliosis and European tick-borne encephalitis are the most common tick-borne infections in Croatia. The common vector, Ixodes ricinus, is also responsible for the transmission of human granulocytic anaplasmosis (HGA), which, in our country is rarely detected, and the first cases were confirmed in the Koprivnica-Križevci County in 1998. HGA most commonly presents as fever with leukopenia, thrombocytopenia and altered aminotransferases and C reactive protein. The diagnosis is usually confirmed serologically and coinfection with European tick-borne encephalitis virus and Borrelia burgdorferi is rarely diagnosed.
We present a 44-year-old, previously healthy patient, treated for fever with bicytopenia (leukopenia, thrombocytopenia) and acute pericarditis. Acute coinfection with Anaplasma phagocytophilum and B. burgdorferi was established serologically. The patient was treated with doxycycline and nonsteroidal noninflammatory drugs with favourable clinical outcome.
Keywords
Lyme disease; anaplasmosis; pericarditis
Hrčak ID:
259118
URI
Publication date:
18.6.2021.
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