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Emerg Infect Dis. 2013 Dec;19(12):1975-7. doi: 10.3201/eid1912.121459.

Myocarditis after trimethoprim/sulfamethoxazole treatment for ehrlichiosis.


The manifestations of human monocytic ehrlichiosis range from a mild febrile syndrome to a severe multisystem illness. Myocardial involvement is uncommon. We report a woman, 78 years of age, who was treated with trimethoprim/sulfamethoxazole after a tick bite, in whom myocarditis was subsequently diagnosed. She recovered completely after doxycycline therapy.


Ehrlichia; bacteria; ehrlichiosis; myocarditis; tickborne; ticks; trimethoprim/sulfamethoxazole; zoonoses

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