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Ehrlichiosis

Symptoms:

fever
chills
headache
muscle aches (myalgia)
malaise
rash, maculopapular
rash, petechial (fine pin-head sized hemorrhages in the skin)

Signs and tests:

CBC shows decreased white blood cells (leukopenia), decreased platelets (thrombocytopenia).
A granulocyte stain shows clumps of bacteria inside white blood cells.
The platelet count shows decreased platelets (thrombocytopenia).
Liver enzymes show elevated transaminase.
A fluorescent antibody test is positive for E. chaffeensis or granulocytic Ehrlichia.

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