Retrospective Analisis of Clinical Case of Erhlichiosis
Lukyanenko TV
ABSTRACT
Relevance: The number of cases of ehrlichiosis is increasing, which is caused by more frequent testing for this infectious disease. Neurological manifestations are observed in about 20% of diagnosed cases. The article presents a retrospective analysis of a clinical case of the consequences of ehrlichiosis meningoencephalitis and the difficulties in establishing the etiology of the disease, its complications.
Purpose of the Work: To describe the clinical and laboratory results of a meta-analysis of meningoencephalitis caused by bacteria of the genus Erhlichia with the subsequent development of persistent neurological changes, joint syndrome and recurrent dermatitis.
Materials and Methods: A retrospective analysis of data from a patient with Ehrlichia-induced meningoencephalitis was conducted. The study was conducted using the following
methods: collection of complaints and patient history, objective examination data, instrumental and laboratory research
methods.
Results and Discussion:The clinical case of patient T., 50 years old, with persistent neurological changes that occurred as a result of a tick bite; polyarthritis; recurrent dermatitis, which significantly affect the patient's quality of life, is described. The patient, after several neurological complications, was treated ex juvantibus with doxycycline. History, clinical and instrumental data, and later, analysis for the presence of Ehrlichia/Anaplasma plagocytophilum antibodies, Ig G, allowed to establish the etiology of the disease. Against the background of colchicine treatment, there is a decrease in neurological symptoms, the disappearance of the inflammatory mechanism of pain in the joints, and fewer manifestations of recurrent dermatitis.
Conclusions: This clinical case demonstrates the observation of the course of complications of ehrlichiosis. Etiotropic therapy was carried out untimely, because the formation of the etiology of the disease at that time was complicated by the lack of the ability to conduct appropriate studies and subsequently by the patient's financial capabilities. Neurological disorders, joint syndrome, recurrent dermatitis, which persisted despite the etiotropic therapy, became less pronounced against the background of taking colchicine, which improved the quality of life. The use of such drugs may indicate immune disorders after suffering ehrlichiosis.
