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Ehrlichia Myocarditis in an Adolescent

Kane, Ian D. MD*; Fish, Frank A. MD; Edwards, Kathryn M. MD

Infectious Diseases in Clinical Practice: May 2012 - Volume 20 - Issue 3 - p 226–228
doi: 10.1097/IPC.0b013e318248f168
Case Reports

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;

The authors have no funding or conflicts of interest to disclose.

© 2012 Lippincott Williams & Wilkins, Inc.