International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access
Article copyright, the authors; Journal compilation copyright, Int J Clin Pediatr and Elmer Press Inc
Journal website http://www.theijcp.org

Case Report

Volume 6, Number 1-2, June 2017, pages 33-35


Ehrlichiosis: A Child With a Maculopapular Rash on His Trunk

Figure

Figure 1.
Figure 1. Erythematous maculopapular rash without distinct margins was seen.

Table

Table 1. Complete Blood Count Results
 
December 1, 2016January 4, 2017
CBC
  RBC count4.89
  Hemoglobin13.9 g/dL
  Hematocrit42%
  Mean corpuscular volume (MCV)83 µm3
  Mean corpuscular hemoglobin (MCH)26.7 pg/cell
  Mean corpuscular hemoglobin concentration (MCHC)32% Hb/cell
  Platelets77,000/µL
  WBC count2,450/µL
  Neutrophils56%
  Eosinophils1%
  Basophils0%
  Lymphocytes33%
  Monocytes10%
  CRP14 mg/L
  ESR20 mm/h
Liver function studies
  Total protein6.4 g/dL6.3 g/dL
  Total bilirubin0.9 mg/dL1.0 mg/dL
  Alkaline phosphatase110 U/L87 U/L
  Aspartate aminotransferase (SGOT)99 U/L38 U/L
  Alanine aminotransferase (SGPT)105 U/L34 U/L
Renal function test
  Creatinine1.1 mg/dL
  Urea14 mgN/dL
  Total protein6.4 g/dL
  Albumin4.1 g/dL
  Uric acid3.1 mg/dL
  Phosphate2.9 mg/dL
  Calcium9.1 mg/dL
  Bicarbonate23 mEq/L
  Potassium4.2 mEq/L
  Sodium139 mEq/L
Urinalysis
  GlucoseNegative
  BilirubinNegative
  KetoneNegative
  Specific gravity1.000
  BloodNegative
  pH7.45
  ProteinNegative
  Urobilinogen1 mg/dL
  NitriteNegative
  LeukocytesNegative
Immunoglobin test
  Immunoglobin A229 mg/dL
  Immunoglobin G1967 mg/dL
  Ehrlichia chaffeensis (HME) antibody, IgG, serum1:256
  Immunoglobin M121 mg/dL