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Letters |15 January 1997

Babesiosis in Missouri

Ryland P. Byrd Jr., MD; Thomas M. Roy, MD

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  • James H. Quillen College of Medicine, Johnson City, TN 37614
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TO THE EDITOR:
We read with interest the report by Herwaldt and colleagues [1] of a patient infected with a Babesia species not previously recognized to infect humans. This intraerythrocytic piroplasm was distinct from but shared morphologic, antigenic, and molecular characteristics with Babesia divergens. Human cases of babesiosis are caused by B. divergens in Europe and B. microti in the United States. Herwaldt and colleagues' patient was recognized to have babesiosis when ring forms were identified on a blood smear. After appropriate antibiotic therapy was initiated, the patient had cardiopulmonary arrest that was attributed to hypoxemia. Diffuse pulmonary infiltrates were noted on a chest radiograph and were thought to be due, at least in part, to volume overload. The patient never regained baseline mental status. Life support was subsequently discontinued, and the patient died. Unfortunately, no autopsy was done.
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Byrd RP, Roy TM. Babesiosis in Missouri. Ann Intern Med. ;126:172. doi: 10.7326/0003-4819-126-2-199701150-00016

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Published: Ann Intern Med. 1997;126(2):172.

DOI: 10.7326/0003-4819-126-2-199701150-00016

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