• J Emerg Med · Jul 2021

    Case Reports

    Babesiosis in the Emergency Department: A Case Report.

    • Taras Varshavsky, Darren Cuthbert, and Renee Riggs.
    • Department of Emergency Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
    • J Emerg Med. 2021 Jul 1; 61 (1): e7-e10.

    BackgroundBabesiosis, a tick-borne illness spread by Ixodes scapularis, is an emerging infectious disease in the Northeastern and upper Midwestern United States. Infection can present as a flu-like illness with anemia, thrombocytopenia, and jaundice. This disease can even be fatal in the immunocompromised or highly infected patient. Co-infection with other tick-borne illnesses is common, and prompt treatment with antiprotozoal agents and antibiotics is indicated to prevent adverse outcomes.Case ReportWe describe a patient who presented to the emergency department with flu-like symptoms, but had history concerning for environmental exposure to babesiosis. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Early detection is important to prevent severe sequalae of the disease. This is a disease that can imitate a viral syndrome but should be considered in the differential for a patient with a concerning history.Copyright © 2021 Elsevier Inc. All rights reserved.

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