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Peripheral blood film from a patient with fever, severe myalgia, thrombocytopenia, and leukopenia.

44. human granulocytic ehrlichiosis

A tick-borne infectious disease caused by Ehrlichia phagocytophilia , a small, coccoid bacterium with a Gram-negative cell wall. The leukocyte in the image contains a morula (arrow),a mulberry-like cytoplasmic cluster of ehrlichiae.

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Source:  OpenStax, Images of memorable cases: 50 years at the bedside. OpenStax CNX. Dec 08, 2008 Download for free at http://cnx.org/content/col10449/1.7
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