Clinical and molecular characterization of a near fatal case of human babesiosis in Austria.
A previously healthy febrile patient with travel history to Nicaragua showed rapid clinical deterioration with hemodynamic shock and anuria. Diagnosis of severe malaria was established based on intra-erythrocytic parasites and antimalarial treatment was initiated. However, upon reevaluation Babesia microti infection was suspected and molecular characterization by polymerase chain reaction and sequence analysis was performed.
Department of Medicine I, Division of Infectious Diseases and Tropical Medicine, Medical University of Vienna, Vienna, Austria. michael.ramharter@meduniwien.ac.at
Michael
M
Ramharter
Julia
J
Walochnik
Heimo
H
Lagler
Stefan
S
Winkler
Walther H
WH
Wernsdorfer
Brigitte
B
Stoiser
Wolfgang
W
Graninger
D001317:Austria; D041001:Babesia microti / Q000235:genetics / Q000302:isolation & purification*; D001404:Babesiosis / Q000097:blood / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D009527:Nicaragua; D016133:Polymerase Chain Reaction; D014195:Travel; D016896:Treatment Outcome