Triple Tick Attack Article Swipe
Manish Kumar
,
Aniket Sharma
,
Prashant Grover
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.7759/cureus.4064
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.7759/cureus.4064
Tick-borne diseases are frequently seen in tick-inhabited areas. Lyme disease is the most common tick-borne illness. However, patients with co-infections can present with nonspecific symptoms, which can make the diagnosis far more challenging. We present a case of triple infection with babesiosis, Lyme disease, and anaplasmosis treated with antibiotics and red blood cell (RBC) exchange (erythrocytapheresis). A 74-year-old, avid female gardener presented with one week of progressive dyspnea, cough with mucoid expectoration, and fatigue. On presentation, she was afebrile, hypotensive, and tachycardic. General examination was significant for altered mental status, dyspnea, pallor, and peripheral edema. Lung examination was remarkable for bibasilar crackles. Pertinent laboratory findings were significant for hemolytic anemia and thrombocytopenia. A peripheral blood smear revealed the presence of intracytoplasmic parasites consistent with Babesia. The patient was started on azithromycin and atovaquone. Doxycycline was added empirically for Lyme disease, which was later confirmed by serology. In addition, Anaplasma titers were also positive. Further investigation revealed that the parasitic load was 9.04%, and RBC exchange (erythrocytapheresis) was performed for severe babesiosis. Repeat laboratory tests demonstrated an inadequate reduction in parasitic load (6.54%), requiring a second round of RBC exchange. Antimicrobials were changed to clindamycin, quinine, and doxycycline for a total of 14 days. There was an improvement in the patient's anemia and thrombocytopenia along with clinical improvement.
Related Topics
Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.7759/cureus.4064
- https://assets.cureus.com/uploads/case_report/pdf/17609/1555349510-20190415-2790-198coze.pdf
- OA Status
- diamond
- Cited By
- 7
- References
- 19
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2914088541
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2914088541Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.7759/cureus.4064Digital Object Identifier
- Title
-
Triple Tick AttackWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-02-13Full publication date if available
- Authors
-
Manish Kumar, Aniket Sharma, Prashant GroverList of authors in order
- Landing page
-
https://doi.org/10.7759/cureus.4064Publisher landing page
- PDF URL
-
https://assets.cureus.com/uploads/case_report/pdf/17609/1555349510-20190415-2790-198coze.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
-
https://assets.cureus.com/uploads/case_report/pdf/17609/1555349510-20190415-2790-198coze.pdfDirect OA link when available
- Concepts
-
Medicine, LYME, Lyme disease, Babesiosis, Crackles, Anaplasmosis, Azithromycin, Doxycycline, Pallor, Atovaquone, Internal medicine, Exchange transfusion, Anemia, Malaria, Tick, Immunology, Physical examination, Antibiotics, Pathology, Plasmodium falciparum, Virology, Microbiology, Borrelia burgdorferi, Antibody, BiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
7Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2, 2024: 1, 2023: 1, 2022: 2, 2021: 1Per-year citation counts (last 5 years)
- References (count)
-
19Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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