Khazai Behnaz, Homsi Matthew J, Anendaga Cecile Diane Moliva, Reiner Eric, Everett Todd J, Flaherty Francis T, Hollander Michael D
Radiology Department, Norwalk Hospital, 34 Maple St, Norwalk, CT, USA.
Radiol Case Rep. 2022 May 5;17(7):2304-2308. doi: 10.1016/j.radcr.2022.03.105. eCollection 2022 Jul.
Babesiosis incidence in the United States has been increasing with an 11% rise between 2018 and 2019 based on the latest CDC annual summary, reaching its highest ever reported incidence. This primarily tick-borne disease is particularly prevalent in New England. Despite predominantly nonspecific and at times subtle symptoms, life-threatening complications do occur. One such complication is splenic rupture which has been suggested to be more common in younger and otherwise healthy individuals. This is a report on a successful splenic artery embolization in a 65-year-old male from upstate New York who, unlike most prior studies, showed splenic rupture he was discharged with negative parasitemia and general improvement following several days of targeted antibiotic therapy. Increased incidence and various presentations of Babesiosis call for an attempt to promote clinical awareness for radiologists among other specialties.
根据美国疾病控制与预防中心（CDC）的最新年度总结，美国巴贝斯虫病的发病率一直在上升，2018年至2019年间上升了11%，达到了有记录以来的最高发病率。这种主要通过蜱传播的疾病在新英格兰地区尤为普遍。尽管其症状主要是非特异性的，有时还很隐匿，但确实会出现危及生命的并发症。其中一种并发症是脾破裂，有人认为在年轻及其他方面健康的个体中更为常见。本文报告了一名来自纽约州北部的65岁男性成功进行脾动脉栓塞术的病例，与大多数先前的研究不同，该患者出现了脾破裂——经过几天的针对性抗生素治疗后，他出院时血中寄生虫血症呈阴性，且整体状况有所改善。巴贝斯虫病发病率的上升及其多种表现形式，促使我们尝试提高放射科医生及其他专业人员的临床意识。
