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Babesiosis, Emergency Medicine

Philip D. Anderson Reviewed 06/2017
 


Basics

Description

  • Tick-borne, infectious disease caused by intraerythrocytic protozoa of the genus Babesia, infects wide array of vertebrate animals, causes lysis of host RBCs

  • Asymptomatic to severe, l...

Diagnosis

Signs and Symptoms

Gradual onset of malaise and fatigue, associated with fever as high as 105°F (40.6°C), 1–4 wk after tick bite, or 1–9 wk after transfusion with contaminated blood products 
  • ...

Treatment

Pre-Hospital

  • Ensure a patent airway in patients with respiratory distress.

  • Provide supplemental oxygen and ventilatory assistance as needed.

  • If patient presents in shock, establish IV access an...

Follow-Up

Disposition

Admission Criteria

  • Patients with parasitemia >4%, severe anemia (hemoglobin <10 g/dL), significant symptoms or complications, or need for exchange transfusion require admissi...

Pearls and Pitfalls

  • Babesiosis can be a life-threatening disease in asplenic patients.

  • Consider babesiosis as a potential cause of respiratory distress/shock in patients with a travel history to an end...

Additional Reading

  • Gelfand  JA, Vannier  EG. Clinical manifestations, diagnosis, treatment, and prevention of babesiosis. UpToDate.  2012.

  • Leder  K, Weller  PF. Epidemiology and pathogenesis of ba...

Codes

ICD9

088.82 Babesiosis 

ICD10

B60.0 Babesiosis 

SNOMED

  • 21061004 Babesiosis (disorder)

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