Atraumatic splenic rupture from Babesia: A disease of the otherwise healthy patient.

Journal Article (Journal Article)

Babesiosis, an infection caused by the protozoan Babesia microti and transmitted by the Ixodes scapularis tick, is commonly described in the literature with an approximate incidence of 1000 cases per year (Herwaldt et al., 2012). Infections in North America occur most frequently during the spring and summer months in the Northeastern and Midwestern United States. Babesia can cause a wide spectrum of clinical manifestations ranging from a self-limited febrile illness or mild anemia to severe illness causing acute respiratory distress syndrome (ARDS), disseminated intravascular coagulopathy (DIC) and multisystem organ failure. Severe illness most commonly occurs in elderly, immunocompromised, or asplenic patients (Vannier and Krause, 2012). Splenic rupture has been generally described as a complication of severe illness secondary to babesiosis. We describe a case of spontaneous splenic rupture in an otherwise healthy woman that required emergent splenectomy. Recent case reports suggest that splenic rupture occurs in people without known risk factors for severe babesiosis. Physicians should be aware of this acute presentation in otherwise healthy individuals.

Full Text

Duke Authors

Cited Authors

  • Farber, FR; Muehlenbachs, A; Robey, TE

Published Date

  • July 2015

Published In

Volume / Issue

  • 6 / 5

Start / End Page

  • 649 - 652

PubMed ID

  • 26123434

Electronic International Standard Serial Number (EISSN)

  • 1877-9603

Digital Object Identifier (DOI)

  • 10.1016/j.ttbdis.2015.05.010


  • eng

Conference Location

  • Netherlands