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Surg Infect (Larchmt). 2013 Aug;14(4):412-4. doi: 10.1089/sur.2012.137. Epub 2013 Jul 16.

Babesia microti infection presenting as acute splenic laceration.

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  • 1Yale School of Medicine, Surgical Critical Care, and Surgical Emergencies, New Haven, Connecticut, USA.

Abstract

BACKGROUND:

Blunt abdominal trauma leading to splenic injury can cause substantial morbidity, particularly in patients with established splenic pathology. In such cases, the extant pathology may increase a patient's susceptibility to blunt injury, most notably by inducing hypersplenism; Babesia microti may create such a condition.

METHODS:

Case report and English language-based literature review.

RESULTS:

Obtaining an appropriate travel history and understanding endemic infectious conditions will better enable the clinician to establish readily treatable concomitant diagnoses in the setting of injury.

CONCLUSIONS:

Failure to treat such infections may delay solid organ healing, leading to the patient being released to unrestricted and therefore risky activity with persistently abnormal splenic architecture.

PMID:
23859679
[PubMed - indexed for MEDLINE]
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