Fangsaard Panisara, Bleik Pavel, Chotiphansiri Kannate, Bischof Edward
Internal Medicine, Bassett Medical Center, Cooperstown, USA.
Cureus. 2024 Sep 13;16(9):e69348. doi: 10.7759/cureus.69348. eCollection 2024 Sep.
Babesiosis is a tick-borne disease caused by an intraerythrocytic parasite known as spp. Its clinical presentation is often nonspecific and can range from asymptomatic to life-threatening, depending on the host's immune status. This myriad of manifestations potentially overlaps with other familiar conditions such as hematologic malignancy. Fortunately, despite the variability of presentations, babesiosis can be effectively diagnosed by using simple and cost-effective methods like peripheral blood smears. Recognizing diverse presentations of babesiosis is crucial for accurate diagnosis and timely management. In this case, we highlight the importance of avoiding diagnostic anchoring and including babesiosis in the differential diagnosis, particularly in endemic areas and in the setting of uncommon complications such as splenic infarction.
巴贝斯虫病是一种由称为巴贝斯虫属的红细胞内寄生虫引起的蜱传疾病。其临床表现通常不具有特异性，根据宿主的免疫状态，可从无症状到危及生命不等。这种多种多样的表现可能与其他常见病症（如血液系统恶性肿瘤）重叠。幸运的是，尽管临床表现存在差异，但通过外周血涂片等简单且经济高效的方法可以有效诊断巴贝斯虫病。认识到巴贝斯虫病的多种表现对于准确诊断和及时治疗至关重要。在本病例中，我们强调避免诊断锚定并将巴贝斯虫病纳入鉴别诊断的重要性，特别是在流行地区以及出现脾梗死等罕见并发症的情况下。
