Discover and read the best of Twitter Threads about #Babesiosis
Most recents (2)
Joseph Burrascano, Jr. MD: Ticks are "Nature’s Dirty Needle." In addition to #Lyme, ticks may be infected with #Babesia #Bartonella #Ehrlichia #Anaplasma #Chlamydia #Mycoplasma #WestNileVirus #Nematodes #candida and viruses. #ILADS2022 
2/Burrascano: B. microti and B. duncani (also known as WA-1) are the predominant cause of Babesiosis in the United States #Babesiosis has been detected in all 50 states #ILADS2022
3/Burrascano: #Babesia odocoilei has been found in ticks across N America, but not human samples, perhaps due to defective primers. Immunoblot data shows significant % of Babesia species in human patients are not microti or duncani. Could be divergens and/or odocoilei? #ILADS2022
Images of Infectious Diseases
This is the peripheral blood smear of a 71M s/p splenectomy. Rural Wisconsin. No travel.
CC: fever, sweats, dyspnea
ROS: dark urine
PE: jaundice
Hgb 10. Low haptoglobin.
TBI 3.3 LDH 1075
What is the diagnosis and recommended Rx?
#MayoIDQ MCQ next
This is the peripheral blood smear of a 71M s/p splenectomy. Rural Wisconsin. No travel.
CC: fever, sweats, dyspnea
ROS: dark urine
PE: jaundice
Hgb 10. Low haptoglobin.
TBI 3.3 LDH 1075
What is the diagnosis and recommended Rx?
#MayoIDQ MCQ next
1/
71M. WI. (see prior tweet)
S/p splenectomy.
Fever, jaundice, hemolytic anemia.
Your diagnosis: babesiosis (parasitemia 7.3%).
3 days after starting Rx: tinnitus and hypoacusis
What Rx most likely caused this adverse effect?
71M. WI. (see prior tweet)
S/p splenectomy.
Fever, jaundice, hemolytic anemia.
Your diagnosis: babesiosis (parasitemia 7.3%).
3 days after starting Rx: tinnitus and hypoacusis
What Rx most likely caused this adverse effect?
2/
Treatment of #Babesiosis
1. Atovaquone-azithromycin
2. Quinine-clindamycin
The two regimens have comparable efficacy in non-life-threatening babesiosis.
BUT safety profile of Atovaquone-azithromycin was better
nejm.org/doi/full/10.10…
Treatment of #Babesiosis
1. Atovaquone-azithromycin
2. Quinine-clindamycin
The two regimens have comparable efficacy in non-life-threatening babesiosis.
BUT safety profile of Atovaquone-azithromycin was better
nejm.org/doi/full/10.10…
