Human monocytic ehrlichiosis is a febrile illness caused by Ehrlichia chaffeensis, an intracellular bacterium transmitted by ticks. In Mexico, a case of E. chaffeensis infection in an immunocompetent 31-year-old woman without tick bite was fatal. This diagnosis should be considered for patients with fever, leukopenia, thrombocytopenia, and elevated liver enzyme levels.
Ahead of Print -Fatal Monocytic Ehrlichiosis in Woman, Mexico, 2013 - Volume 22, Number 5—May 2016 - Emerging Infectious Disease journal - CDC
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