Ehrlichiosis

• Facts:
  Tock borne illness
  AKA "spotless Rocky Mountain Spotted Fever (RMSF)"
• History / PE:
  Fever, malaise
  Myalgias
  Headaches
  Nausea, vomiting
• Diagnosis:
  Leukopenia
  Intracellular inclusions in WBCs (morulae)
  Thrombocytopenia
  Elevated aminotransferases
• Treatment:
  Doxycycline (also for RMSF and lyme disease )
  Chloramphenicol (pregnant women)
• Differential Diagnosis:
  RMSF (rash, same tx though)
• Risk Factors:
  Tick exposure