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Am J Hematol. 1995 Sep;50(1):60-2.

Pancytopenia due to hemophagocytic syndrome as the presenting manifestation of babesiosis.

Author information

1
Department of Medicine, University of Minnesota Medical School, Minneapolis 55455, USA.

Abstract

We present a case of hemophagocytosis during infection with the intraƫrythrocytic protozoan Babesia microti in a 47-year-old splenectomized renal allograft recipient. After therapy with clindamycin and quinine a relapse responded to atovaquone; durable remission was not achieved until trimethoprim/sulfa was added. We postulate the severity of our patient's syndrome was due to splenectomy and chronic immunosuppression. Babesiosis should be considered when immunocompromised patients develop pancytopenia.

PMID:
7668227
DOI:
10.1002/ajh.2830500113
[Indexed for MEDLINE]

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