18 July 2022>: Articles
Trust the Process: Prolonged 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 Ivancich D* , Larry Lutwick A , F.N.U. Shweta A
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%.