1994
DOI: 10.1164/ajrccm.149.6.8004331
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Acute respiratory failure in patients treated for babesiosis.

Abstract: Babesiosis is a tick-borne protozoal disease with infrequent clinical complications. We report three cases of noncardiogenic pulmonary edema in patients from Nantucket Island, MA, with a history of Lyme disease and review the clinical presentation of babesiosis and its treatment. Respiratory complications in our patients, as well as in the four previously reported cases in the literature, occurred a few days after initiation of medical therapy. We hypothesize that the pathophysiology of the pulmonary edema is … Show more

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Cited by 28 publications
(10 citation statements)
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“…The parasites can attack the red blood cells and can contribute to misdiagnosis of Plasmodium [76]. The symptoms include fever, headache, loss of appetite, myalgia, tiredness, and drenching sweats [77]. Patients with babesiosis are frequently complicated by noncardiogenic diffuse-bilateral-interstitial pulmonary edema and adult respiratory distress syndrome [78].…”
Section: Pulmonary Babesiosismentioning
confidence: 99%
“…The parasites can attack the red blood cells and can contribute to misdiagnosis of Plasmodium [76]. The symptoms include fever, headache, loss of appetite, myalgia, tiredness, and drenching sweats [77]. Patients with babesiosis are frequently complicated by noncardiogenic diffuse-bilateral-interstitial pulmonary edema and adult respiratory distress syndrome [78].…”
Section: Pulmonary Babesiosismentioning
confidence: 99%
“…Among the factors of risk for systemic infection are immunosuppression, advanced age and antecedents of splenectomy. Babesiosis is quite a rare disease, in which the effect on the lung is, as is the case with malaria, a consequence of a systemic inflammatory response [189], which, in some cases, may be secondary to the antiprotozoa therapy employed [190,191]. Among the clinical manifestations are fever, cough and laboured breathing, with noncardiogenic pulmonary oedema being the most frequent development [192].…”
Section: Genus Babesiamentioning
confidence: 99%
“…Petechiae, splinter hemorrhages, and ecchymoses have been occasionally noted. Fevers may be sustained, or intermittent, and reach levels of 40º C. Babesiosis has been associated with adult respiratory distress syndrome (ARDS) [21,22] and septic shock syndrome. Intercurrent Lyme disease should be investigated in any patient with suspected babesiosis [23••].…”
Section: Clinical Manifestationsmentioning
confidence: 99%