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Congenital Babesiosis Case

  • 6-week-old girl from Yorktown Heights, New York
  • Admitted to the hospital with a 2-day history of fever, irritability, pallor, and decreased oral intake
  • Mother was asymptomatic during and after her pregnancy
  • Mother visited parks during her pregnancy but did not noticed ticks
  • No transfusions were administered to mother or baby
  • Baby had enlarged liver and spleen and was icteric
Selected Laboratory Results

Test

Result

Reference Range

Hemoglobin

7.1 g/dL

12.0-16.0 g/dL

Platelets

100 x 103 /dL

150-450 x 103 /dL

WBCs

19.7 x 103 /dL

4.5—11.0103 /dL

Neutrophils

4%

40-80%

Lymphocytes

80%

6-40 U/L

Monocytes

16%

2-10%

Reticulocytes

5.5%

0.5--2.5%

Total Bilirubin

2 mg/dL

0.1-1.0 mg/dL

ALT

339 U/L

10-40 U/L