Diferencia entre revisiones de «Babesiosis»
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**Atovaquone (750mg BID) and Azithromycin (500-1000mg on first day, 250-1000mg on subsequent days) | **Atovaquone (750mg BID) and Azithromycin (500-1000mg on first day, 250-1000mg on subsequent days) | ||
**Clindamycin (600mg PO TID or 300-600mg IV QID) and Quinine (650mg TID) | **Clindamycin (600mg PO TID or 300-600mg IV QID) and Quinine (650mg TID) | ||
==See Also== | |||
*[[Tick Borne Illnesses]] | |||
=Sources= | =Sources= | ||
Revisión del 05:10 9 dic 2013
Background
- Spread by the deer tick (Ixodes scapularis)
- People often unaware they are bitten
- Natural reservior is the white footed mouse
- Endemic in US, Europe, parts of Russia and China
- Babesia Microti is pathogen in US
Symptoms
- Fever, hemolytic anemia, chills, thrombocytopenia, DIC
- More severe disease in immunocompromized patients (HIV, Elderly, Asplenic)
Diagnosis
- Peripheral blood smear
- Shows intracellular parasites
- Maltese Cross sign
- May need large smear as parasitemia can be as low as 1%
- Can often be confused for malaria parasites
- Shows intracellular parasites
Treatment
- 2 drug regimen for 7-10 days
- Atovaquone (750mg BID) and Azithromycin (500-1000mg on first day, 250-1000mg on subsequent days)
- Clindamycin (600mg PO TID or 300-600mg IV QID) and Quinine (650mg TID)
See Also
Sources
- Wikipedia
- cdc.gov/parastites/babesiosis