Babesiosis physical examination
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Patients infected with Babesiosis generally appear healthy. However physical examination findings are variable depending on the severity of the infection as well as the patient’s medical history. For patients exhibiting symptoms apparent during physical examination, the most common physical findings will include: fever, fatigue, headache, neck stiffness, shortness of breath, nausea, vomiting, and weight loss. Symptoms gradually progress and have presented themselves to be non-specific.
Immunocompromised patients or patients who have previously undergone splenectomy, experience difficulty clearing parasitic infections and thus result in higher counts of parasitemia. Within these populations, physical examination may result in the follow findings: Hepatomegaly, Petechiae, Ecchymoses, rash (similar to erythema chronicum migrans), pharyngeal erythema, shock, and acute respiratory distress syndrome (ARDS). Other notable findings may include depression and emotional lability.