Diferencia entre revisiones de «Babesiosis»
Sin resumen de edición |
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| Línea 1: | Línea 1: | ||
=Background= | ==Background== | ||
*Spread by the deer tick (Ixodes scapularis) | *Spread by the deer tick (Ixodes scapularis) | ||
**People often unaware they are bitten | **People often unaware they are bitten | ||
| Línea 6: | Línea 6: | ||
**Babesia Microti is pathogen in US | **Babesia Microti is pathogen in US | ||
=Symptoms= | ==Symptoms== | ||
**Fever, hemolytic anemia, chills, thrombocytopenia, DIC | **Fever, hemolytic anemia, chills, thrombocytopenia, DIC | ||
**More severe disease in immunocompromized patients (HIV, Elderly, '''Asplenic''') | **More severe disease in immunocompromized patients (HIV, Elderly, '''Asplenic''') | ||
=Diagnosis= | ==Diagnosis== | ||
*Peripheral blood smear | *Peripheral blood smear | ||
**Shows intracellular parasites | **Shows intracellular parasites | ||
| Línea 29: | Línea 29: | ||
=Sources= | =Sources= | ||
* | *CDC http://www.cdc.gov/parasites/babesiosis/ | ||
[[Category:ID]] | [[Category:ID]] | ||
Revisión del 01:49 18 jun 2014
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
- Clindamycin 600mg PO q8hrs x 7-10 days (or 300-600mg IV q6hrs)
- Give with Quinine 650mg TID