Abstract
BackgroundHuman babesiosis is a rare tick-borne infectious disease. The clinical presentation ranges from an asymptomatic form to a life threatening infection with severe hemolysis. Human babesiosis due to Babesia microti is the most common and is endemic in North America.Case presentationWe report a European patient with severe pancytopenia and reactive hemophagocytosis related to a Babesia microti infection. Babesia infection was acquired during a travel in the USA.ConclusionBabesiosis should be considered in patients who traveled in endemic areas, especially North America for the most common agent Babesia microti.
Highlights
Human babesiosis is a rare tick-borne infectious disease
Babesia microti was Discussion The clinical symptoms and the biological abnormalities observed during babesiosis are very similar to Plasmodium infection
Malaria is often evoked even in travelers who have never visited a malarious area because of the rare “airport malaria” [5]. This case underline that the diagnosis of babesiosis should be considered in patients who traveled in endemic areas, especially North America, for the most common agent Babesia microti
Summary
Case report A 82-year-old man living on the French Riviera presented at the emergency department for fever and chills lasting for 5 days. He came back two weeks ago from a travel in New York city, USA with a two days stay on the Long Island countryside. He did not note any insect bite during his travel. PCR testing on blood for babesia was positive (Figure 2A).
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