Takeshi Kawaguchi, Yuki Rikitake, Mao Rikitake, Masatoshi Kimura, Chihiro Iwao, Kosho Iwao, Ayako Aizawa, Makoto Sumiyoshi, Yumi Kariya, Motohiro Matsuda, Shunichi Miyauchi, Kunihiko Umekita, Ichiro Takajo, Norio Ohashi, Taiga Miyazaki
Human granulocytic anaplasmosis (HGA) is a tick-borne infection caused by Anaplasma phagocytophilum. Only seven cases of HGA have been reported in Japan to date. We report the case of a 61-year-old female farmer who developed HGA with rash and rhabdomyolysis. The patient had fever and erythema covering the entire body, including the palms. An induration with an eschar was observed on the right leg, indicating that the patient had been bitten by a tick. Elevated serum creatinine and creatinine kinase levels and hematuria indicated rhabdomyolysis...
April 2, 2024: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy