Abstract

Pancytopenia has a wide differential diagnosis. One of the uncommon and often missed causes is tick-borne illnesses, mainly Human Monocytic Ehrlichiosis (HME) / Human Granulocytic Anaplasmosis (HGA) and Babesiosis, though the specific mechanism of the former is still unknown. Noteworthy to mention is that the tests for tick-borne diseases so far have poor validity, and also

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