Case Report: Overwhelming Babesia Parasitemia Successfully Treated Promptly With RBC Apheresis and Triple Therapy With Clindamycin, Azithromycin, and Atovaquone

摘要

Babesiosis with high-grade parasitemia is life-threatening, especially in asplenic hosts. We report an asplenic patient with parasitemia 50% who was successfully treated with prompt red blood cell apheresis and triple therapy with clindamycin?+?azithromycin?+?atovaquone. This regimen may be an alternative to poorly tolerated clindamycin?+?quinine in severe cases.