Alward W, Javaid M, Garner J
Department of Medicine, New Britain General Hospital, CT 06050.
Conn Med. 1990 Aug;54(8):425-7.
Fewer than 200 confirmed cases of babesiosis have been reported in the last decade. Most cases in the United States have occurred on Cape Cod, Nantucket Island, and Long Island. Babesia microti, a malaria-like protozoan that parasitizes erythrocytes, is responsible for this illness in the United States. Infection is often subclinical but may be fulminant, especially in infants, the elderly, and in asplenic patients. Symptoms are nonspecific, usually consisting of fever and myalgias. Common laboratory abnormalities include evidence of hemolysis and thrombocytopenia. We report a case of babesiosis in an elderly male manifested by high fevers, confusion, hemolytic anemia, and thrombocytopenia.
在过去十年中,报告的巴贝斯虫病确诊病例不到200例。美国的大多数病例发生在科德角、楠塔基特岛和长岛。微小巴贝斯虫是一种寄生于红细胞的类疟原虫,在美国导致这种疾病。感染通常为亚临床感染,但也可能是暴发性的,尤其是在婴儿、老年人和无脾患者中。症状不具特异性,通常包括发热和肌痛。常见的实验室异常包括溶血和血小板减少的证据。我们报告一例老年男性巴贝斯虫病病例,表现为高热、意识模糊、溶血性贫血和血小板减少。