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巴贝斯虫病

Babesiosis

作者信息

Zimmer Andrea J., Simonsen Kari A.

机构信息

University of Nebraska Medical Center

Abstract

Babesiosis is an infectious disease caused by intraerythrocytic, tick-borne protozoa of the species. In the USA and Europe, the organism Babesia is transmitted following the bite of ticks. Babesia primarily infects animals and humans are only opportunistic hosts. The parasite is also referred to as piroplasms because of its 'pear-shape' that is seen within the infected erythrocytes. In the USA, infection by babesia is rare and only limited to certain geographical regions. Most individuals exhibit no symptoms but certain patients may exhibit high morbidity and mortality. Overall, the disease chiefly affects patients who are splenic, immunocompromised or the elderly. Babesiosis is not easy to diagnose and a high index of suspicion is required, especially in endemic regions. Treatment is recommended for patients regardless of symptoms to prevent progression and transmission of the disease.

摘要

巴贝斯虫病是一种由该物种的红细胞内蜱传播原生动物引起的传染病。在美国和欧洲,巴贝斯虫生物体是通过蜱叮咬传播的。巴贝斯虫主要感染动物,人类只是机会性宿主。由于在受感染红细胞内可见其“梨形”,该寄生虫也被称为梨浆虫。在美国,巴贝斯虫感染很少见,仅局限于某些地理区域。大多数人没有症状,但某些患者可能表现出高发病率和死亡率。总体而言,该疾病主要影响脾切除患者、免疫功能低下者或老年人。巴贝斯虫病不易诊断,需要高度怀疑指数,尤其是在流行地区。无论有无症状,都建议对患者进行治疗,以防止疾病进展和传播。

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