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巴贝斯虫病的诊断与管理:一例蜱传疾病及时干预的案例研究

Diagnosing and Managing Babesiosis: A Case Study of Timely Intervention in a Tick-Borne Illness.

作者信息

Haymov Anna, Baloch Sarmad, Girardin Cassie R

机构信息

Neurology and Neurosurgery, Lake Erie College of Osteopathic Medicine, Elmira, USA.

Hospital Medicine, Olean General Hospital, Olean, USA.

出版信息

Cureus. 2025 Feb 25;17(2):e79658. doi: 10.7759/cureus.79658. eCollection 2025 Feb.

Abstract

Babesiosis is a tick-borne parasitic infection caused by the Babesia species and is primarily transmitted by deer ticks. The disease has become more prevalent due to climate change and expanding tick populations, making early diagnosis and intervention crucial. This case study details the clinical presentation, diagnostic challenges, and treatment of a 52-year-old female patient with babesiosis, emphasizing the importance of timely detection in tick-endemic regions. The patient presented with fever, chills, body ache, thrombocytopenia, and a history of tick exposure. Initial treatment for suspected sepsis was modified after consultation with infectious disease specialists, leading to the identification of Babesia on the blood smear and confirmation of the diagnosis. The patient was successfully treated with atovaquone and azithromycin, and her condition improved following appropriate management. This case highlights the need for heightened clinical suspicion in patients with febrile illnesses and tick exposure, as well as the value of early diagnostic testing and targeted therapy in improving patient outcomes.

摘要

巴贝斯虫病是一种由巴贝斯虫属引起的蜱传播寄生虫感染,主要通过鹿蜱传播。由于气候变化和蜱虫数量增加,这种疾病变得更加普遍,因此早期诊断和干预至关重要。本病例研究详细介绍了一名52岁巴贝斯虫病女性患者的临床表现、诊断挑战和治疗情况,强调了在蜱虫流行地区及时检测的重要性。该患者出现发热、寒战、身体疼痛、血小板减少症以及蜱虫叮咬史。在咨询传染病专家后,对疑似败血症的初始治疗方案进行了调整,随后在血涂片上发现了巴贝斯虫并确诊。患者接受阿托伐醌和阿奇霉素成功治疗,经过适当管理后病情好转。本病例强调了对于有发热疾病和蜱虫叮咬史的患者需要提高临床怀疑度,以及早期诊断检测和靶向治疗在改善患者预后方面的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb0f/11954427/21f1a17e2fe6/cureus-0017-00000079658-i01.jpg

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