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...
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Format: | Article |
Language: | English |
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Elsevier
2023-08-01
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Series: | Heliyon |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023057717 |
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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 |