TY - JOUR T1 - Pancytopenia due to hemophagocytic syndrome as the presenting manifestation of babesiosis JF - American Journal of Hematology Y1 - 1995 A1 - Gupta,P. A1 - Hurley,R. W. A1 - Helseth,P. H. A1 - Goodman,J. L. A1 - Hammerschmidt,D. E. KW - Babesiosis / complications KW - Histiocytosis, Non-Langerhans-Cell / complications / etiology KW - Humans KW - Kidney Transplantation KW - Male KW - Middle Aged KW - Pancytopenia / etiology KW - Splenectomy AB - 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. CY - UNITED STATES VL - 50 CP - 1 N1 - LR: 20041117; JID: 7610369; ppublish L2 - Case Reports; Journal Article; IM ID - 1709 ER -