Continue doxycycline for 3 days after defervescence, for a minimum of 5-7 days. Wear light colored clothes. Tuck pants into socks. Wear insect repellent. Regularly examine body for ticks.
Elderly patients are at higher risk of death.
Reliance on laboratory tests is necessary to make the diagnosis. An alternative antibiotic for children younger than 8 years and for pregnant patients is lacking. Favorable outcome is associated with early use of antibiotics. Many cases of HGE and HME may be subclinical and self-limiting. Human granulocytic ehrlichiosis in the upper Midwest United States.