15 July 2024
: Case report 
Severe Fatal ARDS Due to Untreated Human Granulocytic Anaplasmosis in a 67-Year-Old Man: A Case Report
Challenging differential diagnosis, Rare disease
Shehryar Malik1BEF, Martha F. Brucato2AF, Laura Faiver2BF, Tung Phan3E, Mohamed H. Yassin4B, Jonathan M. Bishop
2AD, Sumit Kapoor 2AEF*
DOI: 10.12659/AJCR.943966
Am J Case Rep 2024; 25:e943966
Table 3. Sniffers for human granulocytic anaplasmosis infection.
| History of tick bite – Ixodes scapularis (deer tick), (western black-legged tick) |
| Presenting from endemic region – residence, recent travel |
| Involved in outdoor activities |
| Spring, summer months usually |
| Constitutional symptoms – fever, chills, myalgia, malaise, arthralgia, headache, night sweats, fatigue |
| Laboratory abnormalities – anemia, leukopenia, thrombocytopenia, transaminitis, hyperbilirubinemia, elevated C-reactive protein (CRP), elevated lactate dehydrogenase (LDH), elevated alkaline phosphatase (ALP) |
| Peripheral smear with Wright stain – morula inside neutrophils |