A Case of Babesiosis in a Pregnant Patient Treated with Red Blood Cell Exchange Transfusion

Babesiosis, caused predominantly by Babesia microti, is an emerging health risk in the Northeastern and Midwestern United States. We present a case of a pregnant woman with history of splenectomy diagnosed with babesiosis at 23 5/7 weeks of gestational age refractory to antimicrobial therapy. She un...

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Main Authors: Baruch Abittan, Aaron Nizam, Michael Oey, Felicia Callan, Lisa Simmonds, Sarah L. Pachtman
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2019/9869323
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author Baruch Abittan
Aaron Nizam
Michael Oey
Felicia Callan
Lisa Simmonds
Sarah L. Pachtman
author_facet Baruch Abittan
Aaron Nizam
Michael Oey
Felicia Callan
Lisa Simmonds
Sarah L. Pachtman
author_sort Baruch Abittan
collection DOAJ
description Babesiosis, caused predominantly by Babesia microti, is an emerging health risk in the Northeastern and Midwestern United States. We present a case of a pregnant woman with history of splenectomy diagnosed with babesiosis at 23 5/7 weeks of gestational age refractory to antimicrobial therapy. She underwent the first reported red blood cell exchange transfusion for babesiosis in pregnancy, at 24 4/7 weeks of gestational age, which resulted in resolution of parasitemia. She had a full term, uncomplicated cesarean delivery. Exchange transfusion is potentially a safe treatment option for severe babesiosis infection in pregnancy and should be considered when other methods are poorly tolerated or ineffective.
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issn 2090-6684
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language English
publishDate 2019-01-01
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-61dd6a51d8da492e98eb05e5a94698c32025-02-03T01:01:44ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922019-01-01201910.1155/2019/98693239869323A Case of Babesiosis in a Pregnant Patient Treated with Red Blood Cell Exchange TransfusionBaruch Abittan0Aaron Nizam1Michael Oey2Felicia Callan3Lisa Simmonds4Sarah L. Pachtman5Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Department of Obstetrics and Gynecology, North Shore University Hospital, Manhasset, NY, USADonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Department of Obstetrics and Gynecology, North Shore University Hospital, Manhasset, NY, USADonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Department of Internal Medicine, Division of Infectious Diseases, North Shore University Hospital, Manhasset, NY, USADonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Department of Obstetrics and Gynecology, Huntington Hospital, Huntington, NY, USADonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Department of Obstetrics and Gynecology, North Shore University Hospital, Manhasset, NY, USADonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Department of Obstetrics and Gynecology, North Shore University Hospital, Manhasset, NY, USABabesiosis, caused predominantly by Babesia microti, is an emerging health risk in the Northeastern and Midwestern United States. We present a case of a pregnant woman with history of splenectomy diagnosed with babesiosis at 23 5/7 weeks of gestational age refractory to antimicrobial therapy. She underwent the first reported red blood cell exchange transfusion for babesiosis in pregnancy, at 24 4/7 weeks of gestational age, which resulted in resolution of parasitemia. She had a full term, uncomplicated cesarean delivery. Exchange transfusion is potentially a safe treatment option for severe babesiosis infection in pregnancy and should be considered when other methods are poorly tolerated or ineffective.http://dx.doi.org/10.1155/2019/9869323
spellingShingle Baruch Abittan
Aaron Nizam
Michael Oey
Felicia Callan
Lisa Simmonds
Sarah L. Pachtman
A Case of Babesiosis in a Pregnant Patient Treated with Red Blood Cell Exchange Transfusion
Case Reports in Obstetrics and Gynecology
title A Case of Babesiosis in a Pregnant Patient Treated with Red Blood Cell Exchange Transfusion
title_full A Case of Babesiosis in a Pregnant Patient Treated with Red Blood Cell Exchange Transfusion
title_fullStr A Case of Babesiosis in a Pregnant Patient Treated with Red Blood Cell Exchange Transfusion
title_full_unstemmed A Case of Babesiosis in a Pregnant Patient Treated with Red Blood Cell Exchange Transfusion
title_short A Case of Babesiosis in a Pregnant Patient Treated with Red Blood Cell Exchange Transfusion
title_sort case of babesiosis in a pregnant patient treated with red blood cell exchange transfusion
url http://dx.doi.org/10.1155/2019/9869323
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