关键词: babesiosis differential diagnosis hemolytic anemia thrombocytopenia tick-borne illness

来  源:   DOI:10.7759/cureus.60036   PDF(Pubmed)

Abstract:
Babesiosis is a tick-borne illness that can cause a wide variety of symptoms based on the severity of the disease. Mild presentations can be difficult to identify, and as a result, treatment may be delayed. A 75-year-old male presented to the Emergency Department (ED) with weakness, leg pain, and a fall. He was found to be febrile and tachycardic on arrival, and lab work revealed thrombocytopenia and acute renal dysfunction. He was admitted and found to have a Babesiosis infection, requiring treatment with red blood cell exchange and plasma exchange therapy. Tick-borne illnesses should be included in the differential even in low-risk populations and non-endemic regions due to the severity of disease complications.
摘要:
巴贝西虫病是一种蜱传疾病,可根据疾病的严重程度引起多种症状。温和的演示文稿可能很难识别,结果,治疗可能会延迟。一名75岁的男性因虚弱而出现在急诊室(ED),腿部疼痛,和一个跌倒。他在抵达时被发现发热和心动过速,实验室工作显示血小板减少和急性肾功能不全。他入院后被发现患有巴贝西虫病,需要红细胞交换和血浆交换治疗。由于疾病并发症的严重程度,即使在低风险人群和非流行地区,也应将滴虫传播的疾病包括在差异中。
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