{"id":28504,"date":"2022-07-29T17:06:22","date_gmt":"2022-07-29T15:06:22","guid":{"rendered":"http:\/\/clinical.dev1.sowieso.biz\/nl\/vademecum\/ehrlichiose\/"},"modified":"2022-07-29T17:06:25","modified_gmt":"2022-07-29T15:06:25","slug":"ehrlichiose","status":"publish","type":"vademecum","link":"https:\/\/clinical.dev1.sowieso.biz\/nl\/vademecum\/ehrlichiose\/","title":{"rendered":"Ehrlichiose"},"content":{"rendered":"<p>Ehrlichiose &amp; Anaplasmose<\/p>\n<p>Humane Granulocytaire Anaplasmose (HGA) en Humane Monocytaire Ehrlichiose (HME) zijn acute teek overdraagbare ziekten. Deze ziekte wordt veroorzaakt door gram negatieve rickettsia-achtige bacteri\u00ebn die in phagosomen van witte bloedcellen blijven leven. HGA wordt veroorzaakt door <em>Anaplasma phagocytophilia<\/em> welke in heel Europa en Noord-Amerika voorkomt.\u00a0HME wordt veroorzaakt door <em>Ehrlichia chaffeensis<\/em> en <em>E. ewingi<\/em> (HME) welke alleen in Noord-Amerika voorkomen.<\/p>\n<p>Wanneer na contact de bacteri\u00ebn zich in de bloedbaan begeven zullen ze opgenomen worden door fagocyten, hier vindt de deling plaats. Via de bloedcirculatie bereiken ze diverse organen, lever, milt, het beenmerg en de lymfeklieren. Binnen \u00e9\u00e9n week na besmetting ontwikkelen zich morulae, dit zijn bolvormige groepen cellen. Deze kunnen in en buiten de granulocyten gevonden worden en dit zijn kenmerken van een Ehrlichia\/Anaplasma infectie.<br \/>\nHet klinisch beeld verschilt weinig tussen HGA en HME. In de meeste situaties is er sprake van:<\/p>\n<ul>\n<li>Zware hoofdpijn (80%)<\/li>\n<li>Myalgie (57%)<\/li>\n<li>Arthralgie (41%)<\/li>\n<li>Influenza-achtig ziektebeeld met koorts &gt;80<sup>o<\/sup>C (97%)<\/li>\n<li>Braken en hoesten (30%)<\/li>\n<\/ul>\n<p>Aangezien kweek niet mogelijk is en microscopie niet erg gevoelig, wordt diagnostiek door middel van serologie gedaan. Voor serologie worden er gepaarde sera afgenomen met een interval van drie tot zes weken, hieruit worden IgG en IgM bepaald. Tijdens de eerste week is 80% van de pati\u00ebnten seronegatief. Ongeveer drie tot vier weken na het optreden van de symptomen worden de antistoffen aantoonbaar.<\/p>\n<p>Tijdens de acute fase van de ziekte kan gebruik gemaakt worden van research PCR\u00a0bij het RIVM op EDTA. Voor de late diagnostiek neemt de sensitiviteit van deze PCR af.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ehrlichiose &amp; Anaplasmose Humane Granulocytaire Anaplasmose (HGA) en Humane Monocytaire Ehrlichiose (HME) zijn acute teek overdraagbare ziekten. Deze ziekte wordt veroorzaakt door gram negatieve rickettsia-achtige bacteri\u00ebn die in phagosomen van <\/p>\n","protected":false},"featured_media":0,"template":"","categories":[54],"class_list":["post-28504","vademecum","type-vademecum","status-publish","hentry","category-medische-microbiologie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ehrlichiose - Clinical Diagnostics Nederland<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/clinical.dev1.sowieso.biz\/nl\/vademecum\/ehrlichiose\/\" \/>\n<meta property=\"og:locale\" content=\"nl_NL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ehrlichiose - Clinical Diagnostics Nederland\" \/>\n<meta property=\"og:description\" content=\"Ehrlichiose &amp; Anaplasmose Humane Granulocytaire Anaplasmose (HGA) en Humane Monocytaire Ehrlichiose (HME) zijn acute teek overdraagbare ziekten. 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