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October 1986, Vol 140, No. 10 >
Article | October 1986

Babesiosis in Two Infants From Eastern Long Island, NY FREE

PHILLIP G. SCIMECA, MD; MARK E. WEINBLATT, MD; GAIL SCHONFELD, MD; MARK H. KAPLAN, MD; JOSEPH H. KOCHEN, MD
Am J Dis Child. 1986;140(10):971. doi:10.1001/archpedi.1986.02140240017009.
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Sir.—Babesiosis, a protozoal illness that is being diagnosed more frequently, is usually associated with fever, chills, hepatosplenomegaly, and signs of hemolysis, but can sometimes be seen as an asymptomatic infection.1 We recently treated two febrile infants who were infected with this parasite.

Patient Reports.—Patient 1.—A previously healthy 3-week-old girl from Southampton, NY, was seen for persistent fever following removal of a tick from her arm two weeks earlier. The child was admitted with a temperature of 40°C, irritability, and an enlarged spleen 3 cm below the costal margin. Her white blood cell (WBC) count was 11 700/mm3 (11.7×109/L), with 7% (0.07) polymorphonuclear leukocytes, 3% (0.03) band cells, 61% (0.61) lymphocytes, 26% (0.26) atypical lymphocytes, and 3% (0.03) monocytes. The hematocrit was 31% (0.31), the platelet count was 58 000/mm3 (58×109/L, and 6% of red blood cells (RBCs) had intracellular

REFERENCES

1 +
Ruebush TK: Babesiosis, in Hoeprich PD (ed): Infectious Diseases , ed 3. Philadelphia, Harper & Row, 1983;, pp 1265-1268.
2 +
Ruebush TK, Juranek DD, Chisolm ES, et al:  Human babesiosis on Nantucket Island: Evidence for self-limited and subclinical infections . N Engl J Med 1977;;297:825-827.
Link to Article
3 +
Wittner M, Rowin KS, Tanowitz HB, et al:  Successful chemotherapy of transfusion babesiosis . Ann Intern Med 1982;;96:601-604.
Link to Article
4 +
Mathewson HO, Anderson AE, Hazard GW:  Self-limited babesiosis in a splenectomized child . Pediatr Infect Dis 1984;;34:148-149.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Ruebush TK: Babesiosis, in Hoeprich PD (ed): Infectious Diseases , ed 3. Philadelphia, Harper & Row, 1983;, pp 1265-1268.
2 +
Ruebush TK, Juranek DD, Chisolm ES, et al:  Human babesiosis on Nantucket Island: Evidence for self-limited and subclinical infections . N Engl J Med 1977;;297:825-827.
Link to Article
3 +
Wittner M, Rowin KS, Tanowitz HB, et al:  Successful chemotherapy of transfusion babesiosis . Ann Intern Med 1982;;96:601-604.
Link to Article
4 +
Mathewson HO, Anderson AE, Hazard GW:  Self-limited babesiosis in a splenectomized child . Pediatr Infect Dis 1984;;34:148-149.

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