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Antimicrobial Agents and Chemotherapy, March 2001, p. 786-788, Vol. 45, No. 3
0066-4804/01/$04.00+0   DOI: 10.1128/AAC.45.3.786-788.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Antimicrobial Susceptibility of Ehrlichia phagocytophila

Harold W. Horowitz,1,* T.-C. Hsieh,2 Maria E. Aguero-Rosenfeld,3 Fatemeh Kalantarpour,1 Ishraq Chowdhury,1 Gary P. Wormser,1 and Joseph M. Wu2

Division of Infectious Diseases and Departments of Medicine,1 Biochemistry and Molecular Biology,2 and Pathology,3 New York Medical College, Valhalla, New York 10595

Received 31 July 2000/Returned for modification 28 September 2000/Accepted 20 December 2000

Human granulocytic ehrlichiosis is a recently described disease caused by an obligate intracellular gram-negative organism recently named Ehrlichia phagocytophila. To expand our knowledge of the susceptibility of E. phagocytophila, we tested six New York State isolates for susceptibility to 12 antimicrobials using an HL-60 cell culture system. All of the isolates were susceptible to doxycycline (MIC, <= 0.125 µg/ml; minimum bactericidal concentration [MBC], 0.125 to 0.5 µg/ml), rifampin (MIC, <= 0.125 µg/ml; MBC, <= 0.125 µg/ml), ofloxacin (MIC, <= 2 µg/ml; MBC, <= 2 µg/ml), levofloxacin (MIC, <= 1 µg/ml; MBC, <= 1 µg/ml), and trovafloxacin (MIC, <= 0.032 µg/ml; MBC, <= 0.032 µg/ml). Isolates were uniformly resistant to amoxicillin, ceftriaxone, erythromycin, azithromycin, clarithromycin, and amikacin. For one strain, the MBC of chloramphenicol was <= 8 µg/ml. These data suggest that quinolone antibiotics and rifampin may be alternative agents for patients with intolerance to tetracyclines.


* Corresponding author. Mailing address: Westchester Medical Center, Division of Infectious Diseases, Room 209, Macy Pavilion, Valhalla, NY 10595. Phone: (914) 493-8865. Fax: (914) 493-7289. E-mail: Harold_Horowitz{at}nymc.edu.


Antimicrobial Agents and Chemotherapy, March 2001, p. 786-788, Vol. 45, No. 3
0066-4804/01/$04.00+0   DOI: 10.1128/AAC.45.3.786-788.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.



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