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EV0705

Neurological manifestations associated with Anaplasmataceae infections

NEUROLOGICAL MANIFESTATIONS ASSOCIATED WITH ANAPLASMATACEAE INFECTIONS

Case reports from the past 20 years have shown that Anaplasmataceae infections can present with a broad spectrum of neurological manifestations involving both the central and peripheral nervous systems.

The aim of the study was to examine central nervous system (CNS) involvement as a challenging clinical manifestation of Anaplasmataceae infections, a neglected zoonosis, and to comprehensively analyze case reports and case series published over the past 20 years. The methodology involved a systematic review of the literature from the past 20 years, focusing particularly on neurological cases reported from tropical and subtropical regions. A total of 586 positive cases were recorded across 37 studies, with patients ranging in age from 3 to 80 years. Of these studies, 24 were case reports and 13 were case population studies; comorbidities were reported in only 12 studies. Neurological manifestations reported in ehrlichiosis cases included impaired consciousness, headache, facial nerve neuropathy, dysarthria, neck stiffness, dizziness, seizures, meningitis, photophobia, vertigo, coma, encephalitis, hemiparesis, syncope, optic neuritis, Guillain–Barré syndrome (GBS), degenerative diseases such as Alzheimer's disease, dysphagia, and acute hearing loss. In conclusion, the study emphasizes that ticks are vectors for a wide range of diseases and recommends considering the possibility of multiple infections, particularly in patients from endemic regions, and tailoring treatment accordingly.

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