# A case of babesiosis in a returning traveller

**Authors:** James W. Mac Donald, John A. Frean, John M. Ratabane, Bhavani Moodley, Karissa Mannaru, Guillaume E. Holz

PMC · DOI: 10.4102/sajid.v39i1.588 · 2024-03-28

## TL;DR

A traveler returning with symptoms similar to malaria was diagnosed with babesiosis after collaborative clinical and lab work.

## Contribution

This case highlights the diagnostic challenges of babesiosis due to its similarity to malaria and the importance of clinical-laboratory collaboration.

## Key findings

- Babesiosis symptoms can mimic falciparum malaria, leading to diagnostic confusion.
- Prompt diagnosis and tailored treatment resolved persistent symptoms in the patient.
- Collaboration between clinicians and laboratories is crucial for accurate babesiosis diagnosis.

## Abstract

Human babesiosis data in Africa is scarce. The clinical presentation and parasite morphology mimics falciparum malaria infection. Diagnostic confirmation is informed by adequate history and communication with the laboratory to activate appropriate testing. This case report describes the course of a returning traveller with persisting symptoms that resolved on tailored antimicrobial therapy following prompt collaborative diagnosis.

Case highlighting overlapping characteristics of Babesia and malaria infection, necessitating close clinical and laboratory correlation to confirm diagnosis.

## Linked entities

- **Diseases:** babesiosis (MONDO:0005661), falciparum malaria (MONDO:0005920)

## Full-text entities

- **Diseases:** malaria infection (MESH:D008288), falciparum malaria infection (MESH:D016778), Babesia (MESH:D001404)

## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11019078/full.md

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Source: https://tomesphere.com/paper/PMC11019078