人粒细胞埃立克体病1例调查

Investigation on One Case of Human Granulocytic Ehrlichiosis

[目的]对不明原因的1例发热病例进行流行病学调查,明确诊断。[方法]通过现场流行病学调查了解病例的暴露史,通过实验室检测病例血象、特异性抗体和媒介病原。[结果]病例有高度的埃立克体的职业暴露史,血常规检测白细胞、血小板明显减少,血液人粒细胞埃立克体IgG抗体阳性,滴度为1∶60;从患者养殖耕牛身体捕获的蜱体检出埃立克体核酸。[结论]病例诊断为人粒细胞埃立克体病。

[Objective]To conduct epidemiological investigation towards a fever case of unknown origin, to make diagnosis. [Methods]On-the-spot epidemiological survey was used to explore the exposure history of the case. Hemogram. specific antibody and pathogens were tested in laboratory. [Results]The case had high occupational exposure history. Hemogram results showed that the WBC and number of platelet reduced significantly. Human Granulocytic chrlichiosis IgG anribody was positive. the tiler of ir was 1 ： 60. Ehlichia was detected in tick living on the cattle of the case. [Conclusion] The diagnosis of the case was Human Granulocytic ehrlichiosis.