{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T11:25:18Z","timestamp":1787743518373,"version":"build-2784847793"},"reference-count":0,"publisher":"L\u00e4kartidningen F\u00f6rlag AB","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Neoehrlichios \u00e4r en underdiagnostiserad, behandlingsbar f\u00e4stingburen infektion.\nB-cellsmodifierande behandling \u00e4r en signifikant riskfaktor f\u00f6r b\u00e5de lindrig och allvarlig neoehrlichios.\n\u00d6verv\u00e4g neoehrlichios hos patienter med B-cellsmodifierande behandling vid f\u00f6rekomst av feber, frossa, allm\u00e4n sjukdomsk\u00e4nsla, ofrivillig viktnedg\u00e5ng, CRP-stegring eller anemi, oavsett \u00e5rstid och uppgift om f\u00e4stingbett.\nBehandling med doxycyklin ger snabb och tydlig symtomf\u00f6rb\u00e4ttring.\nNeoehrlichios kan orsaka b\u00e5de ven\u00f6sa och arteriella k\u00e4rlh\u00e4ndelser. Arteriella h\u00e4ndelser har beskrivits som ovanliga hos immunsupprimerade, men var i dessa fall vanligare f\u00f6rekommande \u00e4n ven\u00f6s tromboembolism (VTE).<\/jats:p>","DOI":"10.65868\/nfrc5466","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T11:14:16Z","timestamp":1787742856000},"source":"Crossref","is-referenced-by-count":0,"title":["Neoehrlichios hos MS-patienter behandlade med rituximab"],"prefix":"10.65868","author":[{"given":"Elias","family":"Ditlevsen \u00adRegen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Victor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tijn","family":"Hendrikx","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"55417","published-online":{"date-parts":[[2026,8,26]]},"container-title":["L\u00e4kartidningen"],"original-title":[],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T11:14:16Z","timestamp":1787742856000},"score":1,"resource":{"primary":{"URL":"https:\/\/lakartidningen.se\/vetenskap\/neoehrlichios-hos-ms-patienter-behandlade-med-rituximab\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,26]]},"references-count":0,"URL":"https:\/\/doi.org\/10.65868\/nfrc5466","relation":{},"ISSN":["0023-7205","1652-7518"],"issn-type":[{"value":"0023-7205","type":"print"},{"value":"1652-7518","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,26]]},"article-number":"2026;123:26009"}}