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Morulae in neutrophils: A diagnostic clue for human granulocytic anaplasmosis

Sungim Choi, Young-Uk Cho, Sung-Han Kim

IDCases · 2019

doi:10.1016/j.idcr.2019.e00506 (opens in a new tab)

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Abstract

Although there was no specific finding in peripheral blood smears performed on the second day after doxycycline administration in clinically suspected human granulocytic anaplasmosis (HGA) patients, we re-examed the peripheral blood smears performed at the time of admission and found morulaes in neutrophils. This case shows that the detection of morulae in a blood smear can be helpful in the diagnosis of HGA, especially in the acute phase of illness, prior to empirical antibiotic administration. Keywords: Human granulocytic anaplasmosis, Morulae, Diagnosis

Abstract licence: CC BY-NC-ND

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