Babesiosis - Revision history

Blsimpso: /* External Links */

2021-09-27T03:55:36Z

External Links

← Older revision		Revision as of 03:55, 27 September 2021
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	==External Links==		==External Links==
	*CDC http://www.cdc.gov/parasites/babesiosis/		*CDC http://www.cdc.gov/parasites/babesiosis/
			*[https://www.merckmanuals.com/professional/infectious-diseases/extraintestinal-protozoa/babesiosis Merck Manual - Babesiosis]

	==References==		==References==

2021-09-27T03:51:08Z

Disposition

← Older revision		Revision as of 03:51, 27 September 2021
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	==Disposition==		==Disposition==
	* ~~Of note, mortality~~ risk higher in asplenic patients		===Admission===
			*Severe anemia (hemoglobin <10g/dL)
			*Parasitemia >4%
			*Mortality risk higher in asplenic patients
			===Discharge===
			*Parasitemia <4%
			*Asymptomatic or mild disease with intact spleen
			*Discharged patients should follow-up with primary care or infectious disease specialist

	==See Also==		==See Also==

2021-09-27T03:45:04Z

Background

← Older revision		Revision as of 03:45, 27 September 2021
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	==Background==		==Background==
			*Babesiosis is an infection of the ''Babesia'' species of intraerythrocytic protozoa, causing lysis of host red blood cells.
	*Spread by the deer tick (Ixodes scapularis)		*Spread by the deer tick (Ixodes scapularis)
	**People often unaware they are bitten		**People often unaware they are bitten

2019-01-18T22:38:03Z

Management

← Older revision		Revision as of 22:38, 18 January 2019
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	==Management==		==Management==
	~~''2 drug regimen for 7-10 days''~~		{{Babesiosis Antibiotics}}
	~~===Option 1===~~
	*Atovaquone (750mg BID) and [[Azithromycin]] (500-1000mg on first day, 250-1000mg on subsequent days)<ref>Krause PJ, Lepore T, Sikand VK, Gadbaw J Jr, Burke G, Telford SR 3rd, et al. Atovaquone and azithromycin for the treatment of babesiosis. N Engl J Med. Nov 16 2000;343(20):1454-8.</ref>

	~~===Option 2===~~
	~~[[Clindamycin]]~~
	{{Babesiosis ~~Clindamycin Adult~~}}

	~~===Pediatrics===~~
	*[[Clindamycin]] 20mg/kg/day for children and 25mg/kg/day for children for 7-10 days

	==Disposition==		==Disposition==

2018-01-28T09:34:55Z

Disposition

← Older revision		Revision as of 09:34, 28 January 2018
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	==Disposition==		==Disposition==
			* Of note, mortality risk higher in asplenic patients

	==See Also==		==See Also==

2016-09-05T16:07:24Z

Clinical Features

← Older revision		Revision as of 16:07, 5 September 2016
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	==Clinical Features==		==Clinical Features==
	*[[Fever]], hemolytic anemia, chills, [[thrombocytopenia]], [[DIC]]		*[[Fever]], hemolytic anemia, chills, [[thrombocytopenia]], [[DIC]]
	*More severe disease in immunocompromized patients ([[HIV]], Elderly, ~~'''~~Asplenic~~'''~~)		*More severe disease in immunocompromized patients ([[HIV]], Elderly, [[Asplenic]])

	==Differential Diagnosis==		==Differential Diagnosis==

2016-07-21T21:47:06Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 21:47, 21 July 2016
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	{{Tick borne illnesses DDX}}		{{Tick borne illnesses DDX}}

	==~~Diagnosis~~==		==Evaluation==
	[[File:Maltese_Cross.png\|thumb\|Peripheral blood smear showing "Maltese Cross" classic for babesiosis.]]		[[File:Maltese_Cross.png\|thumb\|Peripheral blood smear showing "Maltese Cross" classic for babesiosis.]]
	*CBC		*CBC

2016-07-18T21:33:23Z

Text replacement - "5 mg" to "5mg"

← Older revision		Revision as of 21:33, 18 July 2016
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	===Pediatrics===		===Pediatrics===
	*[[Clindamycin]] 20mg/kg/day for children and ~~25 mg~~/kg/day for children for 7-10 days		*[[Clindamycin]] 20mg/kg/day for children and 25mg/kg/day for children for 7-10 days

	==Disposition==		==Disposition==

2016-07-18T20:14:04Z

Text replacement - "0 mg" to "0mg"

← Older revision		Revision as of 20:14, 18 July 2016
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	===Pediatrics===		===Pediatrics===
	*[[Clindamycin]] ~~20 mg~~/kg/day for children and 25 mg/kg/day for children for 7-10 days		*[[Clindamycin]] 20mg/kg/day for children and 25 mg/kg/day for children for 7-10 days

	==Disposition==		==Disposition==

2016-07-12T07:33:05Z

Management

← Older revision		Revision as of 07:33, 12 July 2016
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	===Pediatrics===		===Pediatrics===
	*[[Clindamycin]] 20 mg/kg/day for children and 25 mg/kg/day for children for 7-10 days		*[[Clindamycin]] 20 mg/kg/day for children and 25 mg/kg/day for children for 7-10 days

			==Disposition==

	==See Also==		==See Also==