Table 1. Clinical data of patients whose blood samples were included in the study.
Patient ID | Age | Sex | Disease | Immune suppression | Fever | Other symptoms | Vascular event | Tick bite | Infectious material | Cell line supporting growth of Neoehrlichia | First positive culture | Infected CEC detected | Ref. |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SE15 | 57 | F | Multiple sclerosis | Rituximab | 1.5 months | Swollen foot, localized myalgia (trapezius muscle), bilateral pain lower legs upon exertion | Thrombo-phlebitis | Yes | Whole blood and plasma/buffy coat | IRE/CTVM20 ISE6 |
15 weeks | NA | [43] |
SE17 | 58 | M | Follicular lymphoma | Rituximab Chemotherapy |
2 months | Myalgia upper and lower extremities, arthralgia both ankles | Repeated thrombo-phlebitis | Yes | Plasma/buffy coat | IRE/CTVM20 | 17 weeks | NA | [11] |
SE21 | 63 | F | Primary hypogamma-globulinemia (IgG1) | Splenectomy | 1–2 weeks | Pain, sore palpation right flank and lower abdominal quadrant | No | Yes | Whole blood and plasma/buffy coat | ISE6 | 12 weeks | NA | [11] |
SE23 | 48 | F | Multiple sclerosis | Rituximab | 4 months | Localized myalgia (left upper arm, left lower leg), arthralgia right wrist, swollen ankles, cough | Repeated muscle vein thromboses | No | Whole blood and plasma/buffy coat | IRE/CTVM20 | 20 weeks | Yes | This study |
SE24 | 54 | M | Granulomatosis with polyangiitis | Rituximab Chemotherapy IL-1R inhibitor Corticosteroids |
1.5 years | Severe fatigue, skin rash, general myalgia, cough | DVT lower extremity | Yes | Whole blood and plasma/buffy coat | IRE/CTVM20 ATCC PCS-110-010 ATCC PCS-100-022 |
Tick cells: 9 weeks Endothelial cells: 15 days | NA | This study |
SE25 | 62 | M | Multiple sclerosis | Rituximab | 2 months | Cough | No | Yes | Plasma/buffy coat | IRE/CTVM20 ATCC PCS-110-010 ATCC PCS-100-022 |
Tick cells: 7 weeks Endothelial cells: 6 days | NA | This study |
SE26 | 65 | M | B-Chronic lymphocytic leukemia | Rituximab Chemotherapy |
6 days | Localized myalgia (neck), headache, cough | DVT upper extremity | No | NA | NA* | NA* | Yes | This study |
Note: F = female, M = male, NA = not assessed, NA* = not assessed because of insufficient material, CEC = circulating endothelial cells.