Epidemiological, clinical, and laboratory characteristics of human granulocytic anaplasmosis in North India.

Human granulocytic anaplasmosis (HGA) is an emerging, rickettsial tick-borne disease caused by Anaplasma phagocytophilum. Sero-epidemiological data demonstrate that this pathogen has a worldwide distribution. The diagnosis of HGA requires a high index of clinical suspicion, even in endemic areas. In recent years, HGA has increasingly been reported from Asia and described in China, Japan, and Korea. We serologically and molecularly screened 467 patients with clinical suspicion of Anaplasmosis. The present study describes the epidemiology, clinical, and laboratory details of 6 confirmed and 43 probable cases of human granulocytic anaplasmosis. One of the HGA patients developed secondary invasive opportunistic Aspergillus fumigatus and Acinetobacter baumanii infection during the illness, which resulted in a fatal infection. The HGA patients without severe complications had excellent treatment responses to doxycycline. The emergence of this newly recognized tick-borne zoonotic HGA in North India is a significant concern for public health and is likely underdiagnosed, underreported, and untreated. Hence, it is also essential to establish a well-coordinated system for actively conducting tick surveillance, especially in the forested areas of the country.IMPORTANCEThe results of the present study show the clinical and laboratory evidence of autochthonous cases of Anaplasma phagocytophilum in North India. The results suggest the possibility of underdiagnosis of HGA in this geographical area. One of the HGA patients developed secondary invasive opportunistic Aspergillus fumigatus and Acinetobacter baumanii infection during the illness, which resulted in a fatal infection.

Detecting single gravitons with quantum sensing.

The quantization of gravity is widely believed to result in gravitons - particles of discrete energy that form gravitational waves. But their detection has so far been considered impossible. Here we show that signatures of single graviton exchange can be observed in laboratory experiments. We show that stimulated and spontaneous single-graviton processes can become relevant for massive quantum acoustic resonators and that stimulated absorption can be resolved through continuous sensing of quantum jumps. We analyze the feasibility of observing the exchange of single energy quanta between matter and gravitational waves. Our results show that single graviton signatures are within reach of experiments. In analogy to the discovery of the photo-electric effect for photons, such signatures can provide the first experimental clue of the quantization of gravity.