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Clinical and Therapeutic Considerations

Myles E. Gombert, MD; Ellie J. C. Goldstein, MD; Jorge L. Benach, PhD; Marvin J. Tenenbaum, MD; Edgar Grunwaldt, MD; Mark H. Kaplan, MD; Laverne K. Eveland, PhD

JAMA. 1982;248(22):3005-3007.

Abstract
During a two-month period, six patients from eastern Long Island were identified as having Babesia microti infection. Diagnosis was based on characteristic blood smears, hamster inoculation, or both. Symptom duration ranged from 19 to 24 days in five patients. The sixth patient, who had previously undergone splenectomy, had a more severe and prolonged illness. No specific therapy was administered to five patients. The patient who had had a splenectomy was treated with chloroquine, quinine, pentamidine, and exchange transfusions. There were no deaths. It appears that most cases of human B microti infection can be effectively managed with symptomatic and supportive care.

(JAMA 1982;248:3005-3007)

Author Affiliations
From the Division of Infectious Diseases, Department of Medicine (Drs Gombert and Goldstein), and the Department of Microbiology and Immunology (Dr Eveland), State University of New York-Downstate Medical Center, Brooklyn; the Infectious Disease Division, Department of Medicine, North Shore University Hospital, Manhasset (Drs Tenenbaum and Kaplan) and Shelter Island (Dr Grunwaldt), NY; and the New York State Department of Health, State University of New York, Stonybrook (Dr Benach).

Footnotes
Reprint requests to State University of New York-Downstate Medical Center, 450 Clarkson Ave, Box 56, Brooklyn, NY 11203 (Dr Gombert).

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