PMID: 8607592Apr 1, 1996Paper

A fatal case of babesiosis in Missouri: identification of another piroplasm that infects humans

Annals of Internal Medicine
B L HerwaldtA F Gorenflot

Abstract

To characterize the etiologic agents (MO1) of the first reported case of babesiosis acquired in Missouri. Case report, serologic testing, animal inoculations, and molecular studies. Southeastern Missouri. A 73-year-old man who had had a splenectomy and had a fatal case of babesiosis. Serum specimens from the patient were assayed by indirect immunofluorescent antibody testing and immunoprecipitation for reactivity with antigens from various Babesia species. Whole blood obtained from the patient before treatment was inoculated into hamsters and jirds and into calves and bighorn sheep that had had splenectomy and were immunosuppressed with dexamethasone. Piroplasm-specific nuclear small-subunit ribosomal DNA was recovered from the patient's blood by using broad-range amplification with the polymerase chain reaction; a 144 base-pair region of the amplification product was sequenced; and phylogenetic analysis was done to compare MO1 with various Babesia species. Indirect immunofluorescent antibody testing showed that the patient's serum had strong reactivity with Babesia divergens, which causes babesiosis in cattle and humans in Europe, but that it had minimal reactivity with B. microti and WA1, which are the piroplasms previously k...Continue Reading

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