<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0122-0667</journal-id>
<journal-title><![CDATA[Revista Médica de Risaralda]]></journal-title>
<abbrev-journal-title><![CDATA[Revista médica Risaralda]]></abbrev-journal-title>
<issn>0122-0667</issn>
<publisher>
<publisher-name><![CDATA[Universidad Tecnológica de Pereira]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0122-06672018000200125</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ehrlichiosis monocítica humana y babesiosis en Venezuela.]]></article-title>
<article-title xml:lang="en"><![CDATA[Human monocytic ehrlichiosis and babesiosis in Venezuela.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Ascanio]]></surname>
<given-names><![CDATA[Yoelvis Wilfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sacramento]]></surname>
<given-names><![CDATA[Vásquez-Franco Kelly]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Dr. Manuel Siverio Castillo  ]]></institution>
<addr-line><![CDATA[Puerto Ordaz Edo. Bolívar]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital de Clínicas Chilemex, C.A  ]]></institution>
<addr-line><![CDATA[Puerto Ordaz Edo. Bolívar]]></addr-line>
<country>Venezuela</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>24</volume>
<numero>2</numero>
<fpage>125</fpage>
<lpage>132</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0122-06672018000200125&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0122-06672018000200125&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0122-06672018000200125&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La babesiosis o &#8220;Fiebre de garrapatas&#8221; es una enfermedad febril y anemizante, producida en animales domésticos y salvajes y ocasionalmente en humanos por especies del genero Babesia, las cuales son protozoarios intraeritrocíticos. Se denomina ehrlichiosis y anaplasmosis a un grupo de infecciones bacterianas transmitidas por garrapatas duras (Ixodidae), que afectan al ser humano y a los animales. Son de distribución universal, y están relacionadas con varias especies de los géneros Anaplasma y Ehrlichia (familia Anaplasmataceae). La fiebre de origen desconocido en pacientes con historia de viajes a zonas endémicas de Ixodes resulta con alto índice de sospecha para la búsqueda de infecciones por Babesia, Borrelia y Ehrliquia, ya que pueden ocurrir simultáneamente, particularmente con estos dos últimos géneros. Se reporta un caso de paciente femenina de 49 años de edad, procedente de Tumeremo estado Bolívar, ocupación minera, quien consultó por fiebre con escalofríos, cefalea y mialgias predominantes en miembros inferiores. Ingresó a Terapia intensiva por cuadro de distres respiratorio y shock séptico. Se descartó malaria por gota gruesa seriada negativas, el hemocultivo y urocultivo reportaron ausencia de crecimiento bacteriano. Se realizó frotis de capa blanca siendo positiva para Ehrliquia monocítica y Babesia bigemina. La paciente evolucionó satisfactoriamente luego del tratamiento con Doxiciclina, clindamicina más meropenem. El fin de este reporte es concientizar a la comunidad médica de la existencia de la ehrlichiosis como entidad clínica emergente en nuestro país y la posibilidad de coexistir con otros microorganismos que comparten el mismo vector, con el fin de considerar tratamiento empírico oportuno en pacientes con factores de riesgo en las zonas rurales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Babesiosis or "Tick fever" is a feverish and anemic disease, produced in domestic and wild animals and occasionally in humans by species of the genus Babesia, which are intra-erythrocytic protozoans. Ehrlichiosis and anaplasmosis are called a group of bacterial infections transmitted by hard ticks (Ixodidae), which affect humans and animals. They are of universal distribution, and are related to several species of the genera Anaplasma and Ehrlichia (family Anaplasmataceae). Fever of unknown origin in patients with a history of travel to endemic areas of Ixodes results in a high index of suspicion for the search for Babesia, Borrelia and Ehrliquia infections, since they can occur simultaneously, particularly with these last two genera. We report a case of female patient, 49 years old, from Tumeremo Bolívar state, mining occupation, who consulted for fever with chills, headache and myalgias predominant in lower limbs. He entered intensive therapy for respiratory distress and septic shock. Malaria was ruled out by gross negative strains, blood culture and urine culture showed no bacterial growth. White-coat smears were positive for monocytic Ehrliquia and Babesia bigemina. The patient progressed satisfactorily after treatment with Doxycycline, clindamycin plus meropenem. The purpose of this report is to make the medical community aware of the existence of ehrlichiosis as an emerging clinical entity in our country and the possibility of coexisting with other microorganisms that share the same vector in order to consider timely empirical treatment in patients with factors risk in rural areas.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Babesiosis]]></kwd>
<kwd lng="es"><![CDATA[ehrlichiosis monocítica]]></kwd>
<kwd lng="es"><![CDATA[distres respiratorio.]]></kwd>
<kwd lng="en"><![CDATA[Babesiosis]]></kwd>
<kwd lng="en"><![CDATA[monocytic ehrlichiosis]]></kwd>
<kwd lng="en"><![CDATA[respiratory distress.]]></kwd>
</kwd-group>
</article-meta>
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