• J Emerg Med · Apr 2019

    Case Reports

    Congenital Babesiosis From Maternal Exposure: A Case Report.

    • Shweta Iyer and Karen Goodman.
    • Division of Pediatric Emergency Medicine, NYU Langone Medical Center, New York, New York.
    • J Emerg Med. 2019 Apr 1; 56 (4): e39-e41.

    BackgroundBabesiosis is a disease caused by parasites that infect red blood cells; in infants it can be acquired from tick bites, blood transfusions, or congenitally via vertical transmission. It can present with thrombocytopenia, fevers, and parasitemia.Case ReportA case of vertically transmitted babesiosis in an infant is described. Thrombocytopenia and parasitemia > 4% developed in this well-appearing infant. The diagnosis was made by history and blood smear in both infant and mother, and the patient recovered fully with oral antibiotics. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Congenital babesiosis has been reported infrequently in the literature and is reviewed here. It is important to consider congenital tick-borne illness in endemic areas as a cause for febrile thrombocytopenia in neonates.Copyright © 2018 Elsevier Inc. All rights reserved.

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