STEVEN M. TEUTSCH, M.D.; DENNIS D. JURANEK, D.V.M.
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To the editor: The recent article by Francioli and colleagues (1) suggests that pentamidine is effective treatment for Babesia microti infections. Although pentamidine might be effective against B. microti, the evidence provided is not very convincing because parasitemia rates for the several days before administration of pentamidine were either not obtained or not reported. Thus, a decreasing trend in parasitemia may already have begun before drug administration. Our experience with an asplenic patient, who had a parasitemia rate 10 times greater than that reported for the patients of Francioli and associates, illustrates that this trend does occur (2). By
TEUTSCH SM, JURANEK DD. Babesiosis. Ann Intern Med. ;95:241. doi: 10.7326/0003-4819-95-2-241_1
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Published: Ann Intern Med. 1981;95(2):241.
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