Korean J Parasitol.  2018 Dec;56(6):609-613. 10.3347/kjp.2018.56.6.609.

Two Imported Cases of Babesiosis with Complication or Co-Infection with Lyme Disease in Republic of Korea

Affiliations
  • 1Department of Internal Medicine, Inha University School of Medicine, Incheon 22212, Korea. jhbaek@inha.ac.kr
  • 2Department of Emergency Medicine, Inha University School of Medicine, Incheon 22212, Korea.
  • 3Department of Tropical Medicine and Parasitology, Inha University School of Medicine, Incheon 22212, Korea.

Abstract

Babesiosis, caused by Babesia microti and B. divergens, is transmitted by Ixodid ticks. Symptoms of babesiosis vary from a mild flu-like illness to acute, severe, and sometimes fatal and fulminant disease. In Korea, 7 imported babesiosis cases and 1 endemic case have been reported. We report 2 cases of severe babesiosis initially mistaken as malaria. The first patient was complicated by shock and splenic infarction, the other co-infected with Lyme disease. As the population traveling abroad increases every year, physicians should be aware of babesiosis which mimics malaria, co-infection with other diseases, and its complications.

Keyword

Babesia microti; babesiosis; splenic infarction; co-infection; Lyme disease

MeSH Terms

Animals
Babesia microti
Babesiosis*
Coinfection*
Humans
Korea
Lyme Disease*
Malaria
Republic of Korea*
Shock
Splenic Infarction
Ticks
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