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Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1996 Jan;34(1):44–48. doi: 10.1128/jcm.34.1.44-48.1996

Geographic, clinical, serologic, and molecular evidence of granulocytic ehrlichiosis, a likely zoonotic disease, in Minnesota and Wisconsin dogs.

B Greig 1, K M Asanovich 1, P J Armstrong 1, J S Dumler 1
PMCID: PMC228727  PMID: 8748270

Abstract

Seventeen Minnesota and Wisconsin dogs with granulocytic ehrlichosis were studied. The diagnoses were made by finding ehrlichia morulae in peripheral blood neutrophils. Eight dogs were studied retrospectively, and nine dogs were studied prospectively. The medical records of all dogs were reviewed. Eighty-eight percent of the dogs were purebred and 76% were spayed females. The median age was 8 years. Sixty-five percent of the cases were diagnosed in October and November. Fever and lethargy were the most common clinical signs. The most frequent laboratory findings were lymphopenia, thrombocytopenia, elevated activities of serum alkaline phosphatase and amylase, and hypoalbuminemia. No dogs seroreacted to Ehrlichia canis or Ehrlichia chaffeensis antigens, which are cross-reactive. Seventy-five percent of the dogs tested during the acute phase of disease and 100% of the dogs tested during convalescence were seropositive for E. equi antigens. Granulocytic ehrlichial 16S rRNA gene DNAs from six dogs were amplified by PCR. Sequence analysis of a 919-bp sequence of the ehrlichial 16S rRNA gene amplified by PCR from the blood of two dogs revealed the agent to be identical to the agent of human granulocytic ehrlichiosis in Minnesota and Wisconsin and to be very similar to E. equi and Ehrlichia phagocytophila and less similar to E. canis, Ehrlichia ewingii, and E. chaffeensis. The geographic, clinical, serologic, and molecular evidence indicates that granulocytic ehrlichiosis in Minnesota and Wisconsin dogs is not caused by E. ewingii, but suggests that it is a zoonotic disease caused by an agent closely related to E. equi and that dogs likely contribute to the enzootic cycle and human infection.

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Selected References

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  1. Anderson B. E., Greene C. E., Jones D. C., Dawson J. E. Ehrlichia ewingii sp. nov., the etiologic agent of canine granulocytic ehrlichiosis. Int J Syst Bacteriol. 1992 Apr;42(2):299–302. doi: 10.1099/00207713-42-2-299. [DOI] [PubMed] [Google Scholar]
  2. Bakken J. S., Dumler J. S., Chen S. M., Eckman M. R., Van Etta L. L., Walker D. H. Human granulocytic ehrlichiosis in the upper Midwest United States. A new species emerging? JAMA. 1994 Jul 20;272(3):212–218. [PubMed] [Google Scholar]
  3. Chen S. M., Dumler J. S., Bakken J. S., Walker D. H. Identification of a granulocytotropic Ehrlichia species as the etiologic agent of human disease. J Clin Microbiol. 1994 Mar;32(3):589–595. doi: 10.1128/jcm.32.3.589-595.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Dawson J. E., Fishbein D. B., Eng T. R., Redus M. A., Green N. R. Diagnosis of human ehrlichiosis with the indirect fluorescent antibody test: kinetics and specificity. J Infect Dis. 1990 Jul;162(1):91–95. doi: 10.1093/infdis/162.1.91. [DOI] [PubMed] [Google Scholar]
  5. Dumler J. S., Asanovich K. M., Bakken J. S., Richter P., Kimsey R., Madigan J. E. Serologic cross-reactions among Ehrlichia equi, Ehrlichia phagocytophila, and human granulocytic Ehrlichia. J Clin Microbiol. 1995 May;33(5):1098–1103. doi: 10.1128/jcm.33.5.1098-1103.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Johansson K. E., Pettersson B., Uhlén M., Gunnarsson A., Malmqvist M., Olsson E. Identification of the causative agent of granulocytic ehrlichiosis in Swedish dogs and horses by direct solid phase sequencing of PCR products from the 16S rRNA gene. Res Vet Sci. 1995 Mar;58(2):109–112. doi: 10.1016/0034-5288(95)90061-6. [DOI] [PubMed] [Google Scholar]
  7. Lewis G. E., Jr, Huxsoll D. L., Ristic M., Johnson A. J. Experimentally induced infection of dogs, cats, and nonhuman primates with Ehrlichia equi, etiologic agent of equine ehrlichiosis. Am J Vet Res. 1975 Jan;36(1):85–88. [PubMed] [Google Scholar]
  8. Madewell B. R., Gribble D. H. Infection in two dogs with an agent resembling Ehrlichia equi. J Am Vet Med Assoc. 1982 Mar 1;180(5):512–514. [PubMed] [Google Scholar]
  9. Madigan J. E., Richter P. J., Jr, Kimsey R. B., Barlough J. E., Bakken J. S., Dumler J. S. Transmission and passage in horses of the agent of human granulocytic ehrlichiosis. J Infect Dis. 1995 Oct;172(4):1141–1144. doi: 10.1093/infdis/172.4.1141. [DOI] [PubMed] [Google Scholar]
  10. Magnarelli L. A., Meegan J. M., Anderson J. F., Chappell W. A. Comparison of an indirect fluorescent-antibody test with an enzyme-linked immunosorbent assay for serological studies of Lyme disease. J Clin Microbiol. 1984 Aug;20(2):181–184. doi: 10.1128/jcm.20.2.181-184.1984. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Nyindo M. B., Ristic M., Lewis G. E., Jr, Huxsoll D. L., Stephenson E. H. Immune response of ponies to experimental infection with Ehrlichia equi. Am J Vet Res. 1978 Jan;39(1):15–18. [PubMed] [Google Scholar]
  12. Pancholi P., Kolbert C. P., Mitchell P. D., Reed K. D., Jr, Dumler J. S., Bakken J. S., Telford S. R., 3rd, Persing D. H. Ixodes dammini as a potential vector of human granulocytic ehrlichiosis. J Infect Dis. 1995 Oct;172(4):1007–1012. doi: 10.1093/infdis/172.4.1007. [DOI] [PubMed] [Google Scholar]
  13. Rikihisa Y. The tribe Ehrlichieae and ehrlichial diseases. Clin Microbiol Rev. 1991 Jul;4(3):286–308. doi: 10.1128/cmr.4.3.286. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Ristic M., Huxsoll D. L., Weisiger R. M., Hildebrandt P. K., Nyindo M. B. Serological diagnosis of tropical canine pancytopenia by indirect immunofluorescence. Infect Immun. 1972 Sep;6(3):226–231. doi: 10.1128/iai.6.3.226-231.1972. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Rodgers S. J., Morton R. J., Baldwin C. A. A serological survey of Ehrlichia canis, Ehrlichia equi, Rickettsia rickettsii, and Borrelia burgdorferi in dogs in Oklahoma. J Vet Diagn Invest. 1989 Apr;1(2):154–159. doi: 10.1177/104063878900100212. [DOI] [PubMed] [Google Scholar]
  16. Stockham S. L., Schmidt D. A., Curtis K. S., Schauf B. G., Tyler J. W., Simpson S. T. Evaluation of granulocytic ehrlichiosis in dogs of Missouri, including serologic status to Ehrlichia canis, Ehrlichia equi and Borrelia burgdorferi. Am J Vet Res. 1992 Jan;53(1):63–68. [PubMed] [Google Scholar]
  17. Weisburg W. G., Barns S. M., Pelletier D. A., Lane D. J. 16S ribosomal DNA amplification for phylogenetic study. J Bacteriol. 1991 Jan;173(2):697–703. doi: 10.1128/jb.173.2.697-703.1991. [DOI] [PMC free article] [PubMed] [Google Scholar]

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