Case Report

A Case of Babesiosis in a Pregnant Patient Treated with Red Blood Cell Exchange Transfusion

Table 1

Percentage of Babesia parasitemia during the course of treatment.

ā€‰TreatmentParasitemia (%)

Hospital Day 1Initial peripheral blood smear performed
Atovaquone + azithromycin
1%

Hospital Day 3Quinine + clindamycin6%

Hospital Day 7Quinine + clindamycin + atovaquone
Total red blood cell exchange transfusion
3%

Hospital Day 8Azithromycin + clindamycin + atovaquone<1%

Hospital Day 9Azithromycin + clindamycin + atovaquone<1%

Hospital Day 12Azithromycin + clindamycin + atovaquone
Simple red blood cell transfusion
<1%

Hospital Day 14Azithromycin + clindamycin + atovaquoneUndetectable