Brigham and Women's Hospital, Boston, Massachusetts.
Obstet Gynecol. 2014 Aug;124(2 Pt 2 Suppl 1):419-422. doi: 10.1097/AOG.0000000000000222.
Babesiosis is an emerging infectious disease caused by a tick-borne parasite that infects red blood cells. Pregnancy is a relatively immunocompromised state that can underlie severe manifestations of parasitic disease.
A healthy primiparous patient in the second trimester developed nonspecific symptoms after a tick bite. Evaluation by obstetrics, primary care, and neurology over 4 weeks yielded diagnoses of Lyme disease, upper respiratory infection, migraine, and medication overuse headache. Babesiosis was diagnosed only after she became acutely ill with hemolysis. She was treated with standard antibiotics and had an uncomplicated pregnancy and healthy newborn.
Diagnosis of babesiosis in pregnancy requires a high index of suspicion to ensure early treatment and optimal pregnancy outcomes.
巴贝斯虫病是一种由蜱传播的寄生虫引起的新兴传染病，感染红细胞。妊娠是一种相对免疫功能低下的状态，可能导致寄生虫病的严重表现。
一位健康的初产妇在妊娠中期被蜱叮咬后出现非特异性症状。经过妇产科、初级保健和神经科 4 周的评估，诊断为莱姆病、上呼吸道感染、偏头痛和药物过度使用性头痛。只有在她出现急性溶血性贫血后才诊断出巴贝斯虫病。她接受了标准抗生素治疗，妊娠和新生儿均未出现并发症。
妊娠合并巴贝斯虫病的诊断需要高度怀疑，以确保早期治疗和最佳妊娠结局。
