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免疫功能正常患者发生重度巴贝斯虫病伴高寄生虫血症,经红细胞置换输血成功治疗。

Severe Babesiosis With Heavy Parasitemia in an Immunocompetent Patient Treated Successfully With Red Cell Exchange Transfusion.

作者信息

Sanivarapu Raghavendra R, Kashyap Vaishali, Iqbal Javed

机构信息

Pulmonary and Critical Care Medicine, Nassau University Medical Center, East Meadow, USA.

Medicine, Nassau University Medical Center, East Meadow, USA.

出版信息

Cureus. 2022 Mar 20;14(3):e23344. doi: 10.7759/cureus.23344. eCollection 2022 Mar.

DOI:10.7759/cureus.23344
PMID:35475076
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9018455/
Abstract

Babesiosis is a zoonotic disease caused by a protozoa . It is transmitted through a tick vector and affects red blood cells. The clinical manifestation of Babesiosis varies and can range from asymptomatic infection to fatal multi-organ failure and death. The severity of infection varies with different species and also the immunity of the host. The management of Babesiosis depends on the severity of infection and the burden of parasitemia. Here we present a case of severe Babesiosis in an immunocompetent patient with heavy parasitemia requiring red blood cell exchange transfusion (ET).

摘要

巴贝斯虫病是一种由原生动物引起的人畜共患病。它通过蜱虫媒介传播,会影响红细胞。巴贝斯虫病的临床表现各不相同,范围可从无症状感染到致命的多器官衰竭及死亡。感染的严重程度因不同物种以及宿主的免疫力而异。巴贝斯虫病的治疗取决于感染的严重程度和寄生虫血症的负荷。在此,我们报告一例免疫功能正常但寄生虫血症严重的患者发生严重巴贝斯虫病的病例,该患者需要进行红细胞置换输血(ET)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/9018455/5039de672ffe/cureus-0014-00000023344-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/9018455/072c6ed5286e/cureus-0014-00000023344-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/9018455/5039de672ffe/cureus-0014-00000023344-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/9018455/072c6ed5286e/cureus-0014-00000023344-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/9018455/5039de672ffe/cureus-0014-00000023344-i02.jpg

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本文引用的文献

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Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA): 2020 Guideline on Diagnosis and Management of Babesiosis.美国传染病学会(IDSA)临床实践指南:2020 年巴贝虫病诊断与管理指南。
Clin Infect Dis. 2021 Jan 27;72(2):185-189. doi: 10.1093/cid/ciab050.
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Inflamm Bowel Dis. 2010 Aug;16(8):1269-70. doi: 10.1002/ibd.21158.
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Red cell exchange transfusion for babesiosis in Rhode Island.罗德岛针对巴贝斯虫病的红细胞置换输血疗法。
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