Case 119

1. Prepared by: Nicolas Mercure-Corriveau, MD

An elderly adult with past medical history of remote Hodgkin lymphoma status post splenectomy and type 2 diabetes mellitus and non-ischemic cardiomyopathy presents as transfer from an outside hospital with fever, dyspnea and profound weakness.

Laboratory studies

Giemsa-stained thick and thin blood smear: Babesia species, 10% parasitemia

The patient was started on empiric antibiotics and was transfused red blood cells at the outside hospital before being transferred to JHH.

Multiple choice question

The apheresis service was consulted to evaluate the possibility of further treatment.

What conduct would you suggest to the patient's clinical team?