Delayed onset Babesia case

The man had been diagnosed with the tick-borne illness Babesia in Florida 10 weeks after travelling to New York. Initially, he presented with a 4-day history of fever, generalized weakness, and flu-like symptoms. 

I first read about this case by Patel and colleagues in the journal Cureus .

His fever was 104.8 F.  His hemoglobin dropped from 9.3g/dL to 6.7g/dL within 5 hours. He was diagnosed with hemolysis and transfused with 2 units of packed red blood cells. A peripheral blood smear revealed a Maltese cross typically seen in Babesia.  

He was treated successfully. But what can learn about this delayed onset case of Babesia?

1.             Savasta S, Fiorito I, Foiadelli T, et al. Abdominal pain as first manifestation of lyme neuroborreliosis in children, case report and review of literature. Ital J Pediatr. Nov 23 2020;46(1):172. doi:10.1186/s13052-020-00936-y

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 Dr. Cameron is a Lyme disease expert and the author “Inside Lyme: An expert's guide to the science of Lyme disease.” He has been treating adolescents and adults for more than 30 years.

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