An Unusual Case of Transient Psychosis from Ehrlichia Infection

Alison M. Mancuso, John F. Bertagnolli, Edward Charles Shadiack, III, Sondra M. De Antonio

Research output: Contribution to journalArticle

Abstract

The incidence of Ehrlichia infection has been increasing since it was first discovered in 1986. Ehrlichia is transmitted by ticks and is endemic to many areas of the United States. Patients with symptoms of Ehrlichia may present to their primary care provider or an emergency department. The authors describe the case of a 50-year-old woman who was initially diagnosed with transient ischemic attack in the emergency department after experiencing facial and unilateral extremity weakness. Imaging studies were persistently negative for brain abnormality. She followed up with her primary physician with persistent symptoms, which began to include hallucinations. She was diagnosed with Ehrlichia infection through laboratory studies. This patient was treated with doxycycline therapy for three weeks and has not had a recurrence of symptoms. The diagnosis of ehrlichiosis needs to be considered in the differential for patients with neurologic and/or psychiatric symptoms, especially in areas of the country where tick-borne illnesses are endemic.

Original languageEnglish
Pages (from-to)124-127
Number of pages4
JournalOsteopathic Family Physician
Volume4
Issue number4
DOIs
StatePublished - 1 Jul 2012

Fingerprint

Ehrlichia
Psychotic Disorders
Ticks
Infection
Hospital Emergency Service
Laboratory Infection
Ehrlichiosis
Doxycycline
Hallucinations
Transient Ischemic Attack
Nervous System
Psychiatry
Primary Health Care
Extremities
Physicians
Recurrence
Incidence
Brain

Keywords

  • Ehrlichiosis
  • Psychosis
  • Tick-borne illness

Cite this

Mancuso, A. M., Bertagnolli, J. F., Shadiack, III, E. C., & De Antonio, S. M. (2012). An Unusual Case of Transient Psychosis from Ehrlichia Infection. Osteopathic Family Physician, 4(4), 124-127. https://doi.org/10.1016/j.osfp.2011.07.005
Mancuso, Alison M. ; Bertagnolli, John F. ; Shadiack, III, Edward Charles ; De Antonio, Sondra M. / An Unusual Case of Transient Psychosis from Ehrlichia Infection. In: Osteopathic Family Physician. 2012 ; Vol. 4, No. 4. pp. 124-127.
@article{ddcf5b4d2bce453896bc91afb6dbd822,
title = "An Unusual Case of Transient Psychosis from Ehrlichia Infection",
abstract = "The incidence of Ehrlichia infection has been increasing since it was first discovered in 1986. Ehrlichia is transmitted by ticks and is endemic to many areas of the United States. Patients with symptoms of Ehrlichia may present to their primary care provider or an emergency department. The authors describe the case of a 50-year-old woman who was initially diagnosed with transient ischemic attack in the emergency department after experiencing facial and unilateral extremity weakness. Imaging studies were persistently negative for brain abnormality. She followed up with her primary physician with persistent symptoms, which began to include hallucinations. She was diagnosed with Ehrlichia infection through laboratory studies. This patient was treated with doxycycline therapy for three weeks and has not had a recurrence of symptoms. The diagnosis of ehrlichiosis needs to be considered in the differential for patients with neurologic and/or psychiatric symptoms, especially in areas of the country where tick-borne illnesses are endemic.",
keywords = "Ehrlichiosis, Psychosis, Tick-borne illness",
author = "Mancuso, {Alison M.} and Bertagnolli, {John F.} and {Shadiack, III}, {Edward Charles} and {De Antonio}, {Sondra M.}",
year = "2012",
month = "7",
day = "1",
doi = "10.1016/j.osfp.2011.07.005",
language = "English",
volume = "4",
pages = "124--127",
journal = "Osteopathic Family Physician",
issn = "1877-573X",
publisher = "Elsevier Inc.",
number = "4",

}

Mancuso, AM, Bertagnolli, JF, Shadiack, III, EC & De Antonio, SM 2012, 'An Unusual Case of Transient Psychosis from Ehrlichia Infection', Osteopathic Family Physician, vol. 4, no. 4, pp. 124-127. https://doi.org/10.1016/j.osfp.2011.07.005

An Unusual Case of Transient Psychosis from Ehrlichia Infection. / Mancuso, Alison M.; Bertagnolli, John F.; Shadiack, III, Edward Charles; De Antonio, Sondra M.

In: Osteopathic Family Physician, Vol. 4, No. 4, 01.07.2012, p. 124-127.

Research output: Contribution to journalArticle

TY - JOUR

T1 - An Unusual Case of Transient Psychosis from Ehrlichia Infection

AU - Mancuso, Alison M.

AU - Bertagnolli, John F.

AU - Shadiack, III, Edward Charles

AU - De Antonio, Sondra M.

PY - 2012/7/1

Y1 - 2012/7/1

N2 - The incidence of Ehrlichia infection has been increasing since it was first discovered in 1986. Ehrlichia is transmitted by ticks and is endemic to many areas of the United States. Patients with symptoms of Ehrlichia may present to their primary care provider or an emergency department. The authors describe the case of a 50-year-old woman who was initially diagnosed with transient ischemic attack in the emergency department after experiencing facial and unilateral extremity weakness. Imaging studies were persistently negative for brain abnormality. She followed up with her primary physician with persistent symptoms, which began to include hallucinations. She was diagnosed with Ehrlichia infection through laboratory studies. This patient was treated with doxycycline therapy for three weeks and has not had a recurrence of symptoms. The diagnosis of ehrlichiosis needs to be considered in the differential for patients with neurologic and/or psychiatric symptoms, especially in areas of the country where tick-borne illnesses are endemic.

AB - The incidence of Ehrlichia infection has been increasing since it was first discovered in 1986. Ehrlichia is transmitted by ticks and is endemic to many areas of the United States. Patients with symptoms of Ehrlichia may present to their primary care provider or an emergency department. The authors describe the case of a 50-year-old woman who was initially diagnosed with transient ischemic attack in the emergency department after experiencing facial and unilateral extremity weakness. Imaging studies were persistently negative for brain abnormality. She followed up with her primary physician with persistent symptoms, which began to include hallucinations. She was diagnosed with Ehrlichia infection through laboratory studies. This patient was treated with doxycycline therapy for three weeks and has not had a recurrence of symptoms. The diagnosis of ehrlichiosis needs to be considered in the differential for patients with neurologic and/or psychiatric symptoms, especially in areas of the country where tick-borne illnesses are endemic.

KW - Ehrlichiosis

KW - Psychosis

KW - Tick-borne illness

UR - http://www.scopus.com/inward/record.url?scp=84863775584&partnerID=8YFLogxK

U2 - 10.1016/j.osfp.2011.07.005

DO - 10.1016/j.osfp.2011.07.005

M3 - Article

AN - SCOPUS:84863775584

VL - 4

SP - 124

EP - 127

JO - Osteopathic Family Physician

JF - Osteopathic Family Physician

SN - 1877-573X

IS - 4

ER -

Mancuso AM, Bertagnolli JF, Shadiack, III EC, De Antonio SM. An Unusual Case of Transient Psychosis from Ehrlichia Infection. Osteopathic Family Physician. 2012 Jul 1;4(4):124-127. https://doi.org/10.1016/j.osfp.2011.07.005