Babesiosis: Difference between revisions
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==Treatment== | ==Treatment== | ||
[[Babesiosis medical therapy|Medical therapy]] | [[Babesiosis surgery|Surgical options]] | [[Babesiosis primary prevention|Primary prevention]] | [[Babesiosis secondary prevention|Secondary prevention]] | [[Babesiosis cost-effectiveness of therapy|Financial costs]] | [[Babesiosis future or investigational therapies|Future therapies]] | [[Babesiosis medical therapy|Medical therapy]] | [[Babesiosis surgery|Surgical options]] | [[Babesiosis primary prevention|Primary prevention]] | [[Babesiosis secondary prevention|Secondary prevention]] | [[Babesiosis cost-effectiveness of therapy|Financial costs]] | [[Babesiosis future or investigational therapies|Future therapies]] | ||
==Diagnosis== | ==Diagnosis== | ||
Revision as of 17:02, 23 January 2012
For patient information click here Template:DiseaseDisorder infobox
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Babesiosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Babesiosis On the Web |
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American Roentgen Ray Society Images of Babesiosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Historical Perspective
Pathophysiology
Epidemiology & Demographics
Risk Factors
Screening
Causes
Differentiating Babesiosis
Complications & Prognosis
Diagnosis
History and Symptoms | Physical Examination | Laboratory tests | Electrocardiogram | X Rays | CT | MRI Echocardiography or Ultrasound | Other images | Alternative diagnostics
Treatment
Medical therapy | Surgical options | Primary prevention | Secondary prevention | Financial costs | Future therapies
Diagnosis
Babesiosis is easy to diagnose but only if it is suspected. It will not show up on any routine tests. It must be suspected when a persons with exposure in an endemic area develops persistent fevers and hemolytic anemia. Babesiosis can be diagnosed by direct examination of the blood (see photo), with serology, or with PCR-based tests. Other laboratory findings include decreased numbers of red blood cells and platelets on complete blood count.
Treatment
Most cases of babesiosis resolve without any specific treatment. For ill patients, treatment is usually a two-drug regimen. The traditional regimen of quinine and clindamycin is often poorly tolerated; recent evidence suggests that a regimen of atovaquone and azithromycin can be equally effective [1]. In life-threatening cases, exchange transfusion is performed. In this procedure, the infected red blood cells are removed and replaced with fresh ones.
References
- Herwaldt BL, Persing DH, Précigout EA, et al. A fatal case of babesiosis in Missouri: Identification of another piroplasm that infect humans. Ann Intern Med 1996;124:643-65.
- Pershing DH, Herwaldt BL, Glaser C, et al. Infection with a Babesia-like organism in northern California. N Engl J Med 1995;332:298-303.
- ↑ Krause P, Lepore T, Sikand V, Gadbaw J, Burke G, Telford S, Brassard P, Pearl D, Azlanzadeh J, Christianson D, McGrath D, Spielman A (2000). "Atovaquone and azithromycin for the treatment of babesiosis". N Engl J Med. 343 (20): 1454–8. PMID 11078770.
Template:Protozoal diseases it:Babesiosi nl:Babesiosis fi:Babesioosi