Babesiosis concurrent with multiple abscesses from Staphylococcus aureus infection: A case report

Background: Babesiosis is a tick-borne illness. These patients may have signs of a systemic inflammatory response, but abscess formation is unusual. Multiple abscesses in a patient with confirmed babesiosis is very rare, so concurrent infection by another pathogen should be considered. Case presenta...

Full description

Bibliographic Details
Main Author: Dongming Xu
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023057717
_version_ 1797733034481418240
author Dongming Xu
author_facet Dongming Xu
author_sort Dongming Xu
collection DOAJ
description Background: Babesiosis is a tick-borne illness. These patients may have signs of a systemic inflammatory response, but abscess formation is unusual. Multiple abscesses in a patient with confirmed babesiosis is very rare, so concurrent infection by another pathogen should be considered. Case presentation: We report a 42-year-old male patient who had fever, chills, joint pain, abdominal pain, and altered mental status after a possible tick bite on his right foot while fishing in a river. The laboratory tests, including a blood smear, suggested babesiosis. Imaging studies showed multiple brain and spleen abscesses due to Staphylococcus aureus based on the results of a blood culture and next-generation sequencing. The patient eventually recovered after treatment with azithromycin, fosfomycin, and vancomycin. Conclusion: Concurrent bacterial infection can occur in a patient with babesiosis. Additional tests should be performed when a babesiosis patient presents with signs inconsistent with Babesia infection. Prompt and appropriate treatment is necessary and may be life-saving for these patients.
first_indexed 2024-03-12T12:23:12Z
format Article
id doaj.art-f1c49f83a50d4d0f9d93344c188d2dec
institution Directory Open Access Journal
issn 2405-8440
language English
last_indexed 2024-03-12T12:23:12Z
publishDate 2023-08-01
publisher Elsevier
record_format Article
series Heliyon
spelling doaj.art-f1c49f83a50d4d0f9d93344c188d2dec2023-08-30T05:51:46ZengElsevierHeliyon2405-84402023-08-0198e18563Babesiosis concurrent with multiple abscesses from Staphylococcus aureus infection: A case reportDongming Xu0Department of Emergency Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, ChinaBackground: Babesiosis is a tick-borne illness. These patients may have signs of a systemic inflammatory response, but abscess formation is unusual. Multiple abscesses in a patient with confirmed babesiosis is very rare, so concurrent infection by another pathogen should be considered. Case presentation: We report a 42-year-old male patient who had fever, chills, joint pain, abdominal pain, and altered mental status after a possible tick bite on his right foot while fishing in a river. The laboratory tests, including a blood smear, suggested babesiosis. Imaging studies showed multiple brain and spleen abscesses due to Staphylococcus aureus based on the results of a blood culture and next-generation sequencing. The patient eventually recovered after treatment with azithromycin, fosfomycin, and vancomycin. Conclusion: Concurrent bacterial infection can occur in a patient with babesiosis. Additional tests should be performed when a babesiosis patient presents with signs inconsistent with Babesia infection. Prompt and appropriate treatment is necessary and may be life-saving for these patients.http://www.sciencedirect.com/science/article/pii/S2405844023057717BabesiosisStaphylococcus aureusAbscessCase report
spellingShingle Dongming Xu
Babesiosis concurrent with multiple abscesses from Staphylococcus aureus infection: A case report
Heliyon
Babesiosis
Staphylococcus aureus
Abscess
Case report
title Babesiosis concurrent with multiple abscesses from Staphylococcus aureus infection: A case report
title_full Babesiosis concurrent with multiple abscesses from Staphylococcus aureus infection: A case report
title_fullStr Babesiosis concurrent with multiple abscesses from Staphylococcus aureus infection: A case report
title_full_unstemmed Babesiosis concurrent with multiple abscesses from Staphylococcus aureus infection: A case report
title_short Babesiosis concurrent with multiple abscesses from Staphylococcus aureus infection: A case report
title_sort babesiosis concurrent with multiple abscesses from staphylococcus aureus infection a case report
topic Babesiosis
Staphylococcus aureus
Abscess
Case report
url http://www.sciencedirect.com/science/article/pii/S2405844023057717
work_keys_str_mv AT dongmingxu babesiosisconcurrentwithmultipleabscessesfromstaphylococcusaureusinfectionacasereport