D. RAOULT; L. SOULAYROL; B. TOGA; H. DUMON; P. CASANOVA
To the editor: Human babesiosis is an acute febrile illness caused by a protozoan blood parasite transmitted by ticks. We report the case of a patient rapidly cured with pentamidine and cotrimoxazole.
A 39-year-old man, who never travelled outside France, abruptly had fever with chills and myalgias, and was hospitalized. On admission he presented with fever and had a diffuse exanthema, generalized lymphadenopathy, and hepatomegalia. His urine was dark. He had been splenectomized 15 years earlier due to traumatic injury. Laboratory data showed a hemolytic thrombocytopenia. A blood smear was done and showed Babesia in 5% of erythrocytes. The patient
RAOULT D, SOULAYROL L, TOGA B, DUMON H, CASANOVA P. Babesiosis, Pentamidine, and Cotrimoxazole. Ann Intern Med. ;107:944. doi: 10.7326/0003-4819-107-6-944_2
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Published: Ann Intern Med. 1987;107(6):944.
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