Although human ehrlichiosis has been reported as a rare cause of myocarditis in adults, it has not been previously reported in children. We describe a 14-year-old boy who developed myocarditis after presenting with fever, rash, and altered mental status, later confirmed to be associated with Ehrlichia. He was treated with trimethoprim-sulfamethoxazole before diagnosis, which has been associated with more severe ehrlichial disease in some reports.
From the *Department of Pediatrics,†Division of Cardiology, Department of Pediatrics, and‡Division of Infectious Diseases, Department of Pediatrics, Vanderbilt University, Nashville, TN.
Correspondence to: Ian D. Kane, MD, 2200 Children’s Way, Suite 8161 DOT, Nashville, TN 37232-9760. E-mail; email@example.com.
The authors have no funding or conflicts of interest to disclose.