Babesiosis as a cause of fever in patients undergoing a splenectomy

Gary P Wormser, Gary Lombardo, Fredric Silverblatt, Marc Y El Khoury, Aakanksha Prasad, Jay A Yelon, Alina Sanda, Sadiqa Karim, Lindita Coku, John A Savino
American Surgeon 2011, 77 (3): 345-7
Babesiosis is an emerging infection most commonly acquired from a tick bite. We describe three hospitalized patients with fever attributable to babesiosis after a splenectomy. Splenectomy was done because of splenic enlargement due to unsuspected babesia infection in one patient and because of splenic perforation due to babesiosis in a second patient. The third patient underwent splenectomy for trauma and acquired babesiosis postoperatively from a blood transfusion. Our cases demonstrate the need to be vigilant for babesiosis in patients undergoing splenectomy.

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