Exchange transfusion for babesiosis when, how, and how long?

Indian J Crit Care Med

Department of Medicine, Division Infectious Disease, Mayo Clinic, Rochester, MN, USA.

Published: November 2016

Babesiosis is a zoonotic disease transmitted by Ixodes ticks seen in the United States and parts of Europe. Because of the typically mild course of most infections, the disease is uncommonly seen in clinical practice. However, asplenic patients can develop a life-threatening infection. The first line of therapy for infections is antiparasitic medications; however, red blood cell (RBC) exchange transfusion has been described as an adjunct therapy. We describe a severe case of babesiosis in an asplenic patient and review the evidence, indications, and protocols for RBC exchange transfusion in this setting.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5144532PMC
http://dx.doi.org/10.4103/0972-5229.194017DOI Listing

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