Adult Respiratory Distress Syndrome in Babesiosis

Gordon, Shale; Cordon, Ricardo A.; Mazdzer, Edward J.; Valigorsky, Jon M.; Blagg, Noel; Barnes, Susan J.

doi:10.1378/chest.86.4.633

Cited by 34 publications

(23 citation statements)

References 8 publications

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“…It has also been reported to occur through blood transfusions from asymptomatic carriers (6,10).The onset of symptoms occurs 1 to 4 wk after the tick bites. Individuals at risk for the disease are usually more than 50 yr of age or have had a splenectomy (11), although babesiosis has also been recently described in the pediatric age group (12).…”

Section: Discussionmentioning

confidence: 99%

“…There have been four reported cases of adult respiratory distress syndrome or pulmonary edema associated with B. microti (5)(6)(7)(8).…”

Section: Discussionmentioning

confidence: 99%

“…The geographic distribution as well as the incidence of babesiosis have increased (2)(3)(4). Since the disease wasfirst described in humans,27 yr ago, only four cases of noncardiogenic pulmonary edema have been reported in association with it (5)(6)(7)(8). Over the past 14 mo, however, we have encounteredan additional three cases of noncardiogenic pulmonary edema from Nantucket Island, MA.…”

mentioning

confidence: 99%

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Acute respiratory failure in patients treated for babesiosis.

Boustani¹,

Lepore²,

Gelfand³

et al. 1994

Am J Respir Crit Care Med

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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 multifactorial, due to decreased deformability of the infected erythrocytes, increased cytoadherence of red blood cells in capillaries and venules, and a possible role of excessive production of certain cytokines, such as tumor necrosis factor and interleukin-1.

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Section: Discussionmentioning

confidence: 99%

“…There have been four reported cases of adult respiratory distress syndrome or pulmonary edema associated with B. microti (5)(6)(7)(8).…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Acute respiratory failure in patients treated for babesiosis.

Boustani¹,

Lepore²,

Gelfand³

et al. 1994

Am J Respir Crit Care Med

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“…In the literature there are three cases in which acute respiratory distress syndrome developed as a complication of the disease [193,194], with mechanical ventilation being required due to respiratory failure and hypoxaemia. In the radiological examinations, bilateral infiltrates with an alveolar pattern and thickening of the septa are described [195].…”

Section: Genus Babesiamentioning

confidence: 99%

Protozoa in respiratory pathology: a review

Martínez‐Girón¹,

Esteban²,

Ribas³

et al. 2008

Eur Respir J

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Among the micro-organisms that may affect the respiratory apparatus are the protozoa. The diseases they may give rise to constitute a relatively uncommon group of respiratory ailments with, in the majority of cases, an underlying clinical situation corresponding to states of suppressed immunity (AIDS, transplants, malign haemopathies, corticotherapy, etc.). Other factors, such as visits to endemic areas and immigration, also have to be taken into account.In view of the probable increase in the number of cases and the appearance of new emerging diseases, it is the intention of the present work to review the publications available, in different fields of medicine, that refer to the principal kinds of protozoa (Entamoeba,

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“…There are six well-documented cases of babesiosis-related acute respiratory distress syndrome (ARDS) recorded in the medical literature [3][4][5][6]. Interestingly, each of these patients had been receiving therapy for babesiosis for several days prior to the development of ARDS.…”

mentioning

confidence: 99%