18 July 2022
: Case report
Trust the Process: Prolonged Babesia Parasitemia in an Elderly Man with Asplenia from the American Midwest
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Educational Purpose (only if useful for a systematic review or synthesis)
Marko Ivancich1DEF*, Larry Lutwick2ABD, F.N.U. Shweta3ABCDEFDOI: 10.12659/AJCR.936326
Am J Case Rep 2022; 23:e936326
Figure 1. Parasitemia percentage. Trend of patient’s percentage of parasitemia on peripheral blood smear over the follow-up period. Inset top: Giemsa-stained thick blood film demonstrating numerous Babesia species parasites. Each parasite has a round purple chromatin dot with an associated blue-gray cytoplasm (arrows). The percentage of parasitemia calculated from the corresponding thin film was 6.13%. Inset bottom: Giemsa-stained thin blood film showing 2 erythrocytes with intraerythrocytic parasites (arrows). The parasite forms are atypical, likely reflecting their exposure to antiparasitic agents. The overall percentage of parasitemia was 1.02%.






