title: Babesia microti infection presenting as acute splenic laceration.
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.
authors.affiliation: Yale School of Medicine, Surgical Critical Care, and Surgical Emergencies, New Haven, Connecticut, USA.
authors.forename: Joshua C
authors.initials: JC
authors.lastname: Leinwand
authors.forename: Juan Pablo
authors.initials: JP
authors.lastname: Arroyo
authors.forename: Daniel
authors.initials: D
authors.lastname: Solomon
authors.forename: Lewis J
authors.initials: LJ
authors.lastname: Kaplan
mesh_terms: D000981:Antiprotozoal Agents / Q000627:therapeutic use; D041001:Babesia microti / Q000302:isolation & purification*; D001404:Babesiosis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D022125:Lacerations; D008297:Male; D008875:Middle Aged; D018512:Parasitemia / Q000175:diagnosis; D013154:Spleen / Q000293:injuries* / Q000469:parasitology*; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating
chemical_list: D000981:Antiprotozoal Agents