Babesiosis: Difference between revisions

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__NOTOC__
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
{{DiseaseDisorder infobox |
  Name          = {{PAGENAME}} |
  Image          = Babiesa spp.jpg |
  Caption        = |
  ICD10          = {{ICD10|B|60|0|b|50}} |
  ICD9          = {{ICD9|088.82}} |
  ICDO          = |
  OMIM          = |
  DiseasesDB    = 1200 |
  MedlinePlus    = |
  eMedicineSubj  = |
  eMedicineTopic = |
  MeshID        = D001404 |
}}
{{Babesiosis}}
{{Babesiosis}}
{{CMG}}
{{About1|Babesia microti}}
{{SK}} Babesia microti, Texas cattle fever, Redwater, or Piroplasmosis
 
{{CMG}} {{AE}} {{IMD}}


==[[Babesiosis overview|Overview]]==
==[[Babesiosis overview|Overview]]==


==[[Babesiosis historical perspective|Historical Perspective]]==
==[[Babesiosis historical perspective|Historical Perspective]]==


==[[Babesiosis pathophysiology|Pathophysiology]]==
==[[Babesiosis pathophysiology|Pathophysiology]]==


==[[Babesiosis epidemiology and demographics|Epidemiology & Demographics]]==
 
==[[Babesiosis causes|Causes]]==
 
 
==[[Babesiosis differential diagnosis|Differentiating Babesiosis from other Diseases]]==
 
==[[Babesiosis epidemiology and demographics|Epidemiology and Demographics]]==
 


==[[Babesiosis risk factors|Risk Factors]]==
==[[Babesiosis risk factors|Risk Factors]]==


==[[Babesiosis screening|Screening]]==


==[[Babesiosis causes|Causes]]==
==[[Babesiosis natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


==[[Babesiosis differential diagnosis|Differentiating Babesiosis]]==


==[[Babesiosis natural history|Complications & Prognosis]]==


==Diagnosis==
==Diagnosis==
[[Babesiosis history and symptoms|History and Symptoms]] | [[Babesiosis physical examination|Physical Examination]] | [[Babesiosis laboratory tests|Laboratory tests]] | [[Babesiosis electrocardiogram|Electrocardiogram]]  | [[Babesiosis x ray|X Rays]] | [[Babesiosis CT|CT]] | [[Babesiosis MRI|MRI]] [[Babesiosis echocardiography or ultrasound|Echocardiography or Ultrasound]] | [[Babesiosis other imaging findings|Other images]] | [[Babesiosis other diagnostic studies|Alternative diagnostics]]
[[Babesiosis history and symptoms|History and Symptoms]] | [[Babesiosis physical examination|Physical Examination]] | [[Babesiosis laboratory findings|Laboratory Findings]]


==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 primary prevention|Prevention]]  


==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==
==Case Studies==
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 <ref name=Krause>{{cite journal | author = Krause P, Lepore T, Sikand V, Gadbaw J, Burke G, Telford S, Brassard P, Pearl D, Azlanzadeh J, Christianson D, McGrath D, Spielman A | title = Atovaquone and azithromycin for the treatment of babesiosis | journal = N Engl J Med | volume = 343 | issue = 20 | pages = 1454-8 | year = 2000 | id = PMID 11078770}}</ref>.  In life-threatening cases, exchange transfusion is performed.  In this procedure, the infected red blood cells are removed and replaced with fresh ones. 
[[Babesiosis case study one|Case #1]]
 
==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.
{{reflist}}


{{Protozoal diseases}}
{{Protozoal diseases}}
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[[Category:Parasitic diseases]]
[[Category:Parasitic diseases]]
[[Category:Apicomplexa]]
[[Category:Apicomplexa]]
[[Category:Infectious disease]]
 
[[Category:Mature chapter]]
[[Category:Mature chapter]]
[[Category:Disease]]


[[pl:Babezjoza]]
[[pl:Babezjoza]]

Latest revision as of 17:04, 18 September 2017

For patient information click here

Babesiosis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Babesiosis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Treatment

Medical Therapy

Prevention

Case Studies

Case #1

Babesiosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Babesiosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Babesiosis

CDC on Babesiosis

Babesiosis in the news

Blogs on Babesiosis

Directions to Hospitals Treating Babesiosis

Risk calculators and risk factors for Babesiosis

This page is about clinical aspects of the disease.  For microbiologic aspects of the causative organism(s), see Babesia microti.

Synonyms and keywords: Babesia microti, Texas cattle fever, Redwater, or Piroplasmosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ilan Dock, B.S.

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Babesiosis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings

Treatment

Medical Therapy | Prevention


Case Studies

Case #1

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