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Babesiosis in Two Infants From Eastern Long Island, NY

Babesiosis in Two Infants From Eastern Long Island, NY Abstract Sir.—Babesiosis, a protozoal illness that is being diagnosed more frequently, is usually associated with fever, chills, hepatosplenomegaly, and signs of hemolysis, but can sometimes be seen as an asymptomatic infection.1 We recently treated two febrile infants who were infected with this parasite. Patient Reports.—Patient 1.—A previously healthy 3-week-old girl from Southampton, NY, was seen for persistent fever following removal of a tick from her arm two weeks earlier. The child was admitted with a temperature of 40°C, irritability, and an enlarged spleen 3 cm below the costal margin. Her white blood cell (WBC) count was 11 700/mm3 (11.7×109/L), with 7% (0.07) polymorphonuclear leukocytes, 3% (0.03) band cells, 61% (0.61) lymphocytes, 26% (0.26) atypical lymphocytes, and 3% (0.03) monocytes. The hematocrit was 31% (0.31), the platelet count was 58 000/mm3 (58×109/L, and 6% of red blood cells (RBCs) had intracellular References 1. Ruebush TK: Babesiosis, in Hoeprich PD (ed): Infectious Diseases , ed 3. Philadelphia, Harper & Row, 1983, pp 1265-1268. 2. Ruebush TK, Juranek DD, Chisolm ES, et al: Human babesiosis on Nantucket Island: Evidence for self-limited and subclinical infections . N Engl J Med 1977;297:825-827.Crossref 3. Wittner M, Rowin KS, Tanowitz HB, et al: Successful chemotherapy of transfusion babesiosis . Ann Intern Med 1982;96:601-604.Crossref 4. Mathewson HO, Anderson AE, Hazard GW: Self-limited babesiosis in a splenectomized child . Pediatr Infect Dis 1984;34:148-149. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Babesiosis in Two Infants From Eastern Long Island, NY

Abstract

Abstract Sir.—Babesiosis, a protozoal illness that is being diagnosed more frequently, is usually associated with fever, chills, hepatosplenomegaly, and signs of hemolysis, but can sometimes be seen as an asymptomatic infection.1 We recently treated two febrile infants who were infected with this parasite. Patient Reports.—Patient 1.—A previously healthy 3-week-old girl from Southampton, NY, was seen for persistent fever following removal of a tick from her arm two weeks...
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Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1986.02140240017009
Publisher site
See Article on Publisher Site

Abstract

Abstract Sir.—Babesiosis, a protozoal illness that is being diagnosed more frequently, is usually associated with fever, chills, hepatosplenomegaly, and signs of hemolysis, but can sometimes be seen as an asymptomatic infection.1 We recently treated two febrile infants who were infected with this parasite. Patient Reports.—Patient 1.—A previously healthy 3-week-old girl from Southampton, NY, was seen for persistent fever following removal of a tick from her arm two weeks earlier. The child was admitted with a temperature of 40°C, irritability, and an enlarged spleen 3 cm below the costal margin. Her white blood cell (WBC) count was 11 700/mm3 (11.7×109/L), with 7% (0.07) polymorphonuclear leukocytes, 3% (0.03) band cells, 61% (0.61) lymphocytes, 26% (0.26) atypical lymphocytes, and 3% (0.03) monocytes. The hematocrit was 31% (0.31), the platelet count was 58 000/mm3 (58×109/L, and 6% of red blood cells (RBCs) had intracellular References 1. Ruebush TK: Babesiosis, in Hoeprich PD (ed): Infectious Diseases , ed 3. Philadelphia, Harper & Row, 1983, pp 1265-1268. 2. Ruebush TK, Juranek DD, Chisolm ES, et al: Human babesiosis on Nantucket Island: Evidence for self-limited and subclinical infections . N Engl J Med 1977;297:825-827.Crossref 3. Wittner M, Rowin KS, Tanowitz HB, et al: Successful chemotherapy of transfusion babesiosis . Ann Intern Med 1982;96:601-604.Crossref 4. Mathewson HO, Anderson AE, Hazard GW: Self-limited babesiosis in a splenectomized child . Pediatr Infect Dis 1984;34:148-149.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Oct 1, 1986

References