Thursday, January 14, 2016


It is the spring to summer months. You are in the southeastern, south central, and mid-Atlantic regions of the United States. White tail deer are abundant. A few people develop a disease with an incubation period 1-2 weeks presenting with fever, malaise, myalgias, headaches, and chills. A few have nausea, vomiting, arthralgias, and cough. A minority have rash or neurologic symptoms. Labs show leukopenia, thrombocytopenia, and elevated liver enzymes.

Challenge: It's easy to blame the bug above, but really, it's just a messenger. Don't shoot the messenger! Who's the culprit?

Image shown under Fair Use.

1 comment:

Craig Chen said...


The image shows a picture of the lone star tick, the principal vector of Erlichia chaffeensis. The disease described is ehrlichiosis.

Source: UpToDate.