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Images of Memorable Cases: Case 79

Module by: Herbert L. Fred, MD, Hendrik A. van Dijk

Case_79-pres1-1.jpg

Peripheral blood film from a 60-year-old hunter with headache, malaise, anorexia, and low-grade fever of two weeks’ duration.

79. Babesiosis

The diagnosis of this tick-borne disease depends on finding the causative protozoan in the peripheral blood film. In this patient, the film shows dumbbell-shaped markings in red blood cells, findings characteristic of Babesia species (image below, arrows). Not surprisingly, the blood film findings of babesiosis simulate those of Plasmodium falciparum malaria.

Case_79-diag1-1.jpg

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