Babesiosis in Post-Splenectomy Hosts

Steven M. TeutschParasitic Diseases Division, Bureau of Epidemiology, Center for Disease Control, Public Health Service, U.S. Department of Health, Education, and Welfare, Massachusetts State Department of Health, Atlanta, Georgia 30333

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Paul EtkindParasitic Diseases Division, Bureau of Epidemiology, Center for Disease Control, Public Health Service, U.S. Department of Health, Education, and Welfare, Massachusetts State Department of Health, Atlanta, Georgia 30333

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E. Langdon BurwellParasitic Diseases Division, Bureau of Epidemiology, Center for Disease Control, Public Health Service, U.S. Department of Health, Education, and Welfare, Massachusetts State Department of Health, Atlanta, Georgia 30333

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Kazuyoshi SatoParasitic Diseases Division, Bureau of Epidemiology, Center for Disease Control, Public Health Service, U.S. Department of Health, Education, and Welfare, Massachusetts State Department of Health, Atlanta, Georgia 30333

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Milton M. DanaParasitic Diseases Division, Bureau of Epidemiology, Center for Disease Control, Public Health Service, U.S. Department of Health, Education, and Welfare, Massachusetts State Department of Health, Atlanta, Georgia 30333

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Philip R. FleishmanParasitic Diseases Division, Bureau of Epidemiology, Center for Disease Control, Public Health Service, U.S. Department of Health, Education, and Welfare, Massachusetts State Department of Health, Atlanta, Georgia 30333

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Dennis D. JuranekParasitic Diseases Division, Bureau of Epidemiology, Center for Disease Control, Public Health Service, U.S. Department of Health, Education, and Welfare, Massachusetts State Department of Health, Atlanta, Georgia 30333

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Two persons who had been splenectomized later contracted babesiosis, one on Cape Cod and one near Islip, Long Island, areas where human cases of babesiosis had not been previously identified. One of the patients received pentamidine, but parasitemia persisted after therapy. No deaths have been recorded for persons who had had splenectomies and were lated infected with Babesia microti. Until more effective therapy is available, such patients should be treated conservatively.

Author Notes

Private physician, Falmouth, Massachusetts.

Private physician, Bay Shore, New York.

Private physician, Islip, New York.

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