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Ehrlichiosis is a serious illness that can be fatal if not treated correctly, even in previously healthy people. Severe clinical presentations may include difficulty breathing, or bleeding disorders. The estimated case fatality rate (i.e. the proportion of persons who die as a result of their infection) is 1.8%.
Without prompt treatment, ehrlichiosis and anaplasmosis can have serious effects on an otherwise healthy adult or child. People with weakened immune systems are at a higher risk of more-serious and life-threatening complications. Complications of an untreated infection may include: Kidney failure.
DHSS has prepared a fact sheet for each of the most common tickborne diseases in Missouri: Rocky Mountain spotted fever Document. Ehrlichiosis Document. Tularemia Document. Heartland and Bourbon viruses Document. Lyme/Lyme-like disease Document.
What are possible complications of ehrlichiosis? Brain problems, like confusion, seizures, or coma. Excess bleeding (hemorrhage) Heart failure. Breathing (respiratory) failure. Kidney failure. Septic shock.
Ehrlichiosis can be fatal if left untreated, and has a 1.8% case fatality rate. Immunocompromised individuals may experience a more severe clinical illness1,2.
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Ehrlichioses are nationally notifiable conditions and cases should be reported to your state or local health department. A case report form for confirmed and probable cases may be submitted to CDC. Specimens may be submitted to CDC for diagnosis by state health departments.

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