Pancytopenia due to hemophagocytic syndrome as the presenting manifestation of babesiosis

TitlePancytopenia due to hemophagocytic syndrome as the presenting manifestation of babesiosis
Publication TypeJournal Article
Year of Publication1995
AuthorsGupta P, Hurley RW, Helseth PH, Goodman JL, Hammerschmidt DE
JournalAmerican Journal of Hematology
Volume50
Issue1
Pagination60 - 62
Date PublishedSep
ISSN0361-8609; 0361-8609
Accession NumberPMID: 7668227
KeywordsBabesiosis / complications, Histiocytosis, Non-Langerhans-Cell / complications / etiology, Humans, Kidney Transplantation, Male, Middle Aged, Pancytopenia / etiology, Splenectomy
Abstract

We present a case of hemophagocytosis during infection with the intraerythrocytic 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.

Alternate JournalAm.J.Hematol.
Notify Library Reference ID1709

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