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Case report: First report on human infection by tick-borne Babesia bigemina in the Amazon region of Ecuador.
Calvopiña, Manuel; Montesdeoca-Andrade, María; Bastidas-Caldes, Carlos; Enriquez, Sandra; Rodríguez-Hidalgo, Richar; Aguilar-Rodríguez, Dayana; Cooper, Philip.
Afiliação
  • Calvopiña M; One Health Research Group, Facultad de Medicina, Universidad de las Américas (UDLA), Quito, Ecuador.
  • Montesdeoca-Andrade M; Departamento de Hemodiálisis, Hospital de Especialidades Carlos Andrade Marín, Quito, Ecuador.
  • Bastidas-Caldes C; One Health Research Group, Facultad de Ingeniería y Ciencias Aplicadas (FICA), Universidad de las Américas (UDLA), Quito, Ecuador.
  • Enriquez S; Programa de Doctorado en Salud Pública y Animal, Universidad de Extremadura, Cáceres, Extremadura, Spain.
  • Rodríguez-Hidalgo R; Instituto de Investigación en Zoonosis (CIZ), Universidad Central del Ecuador, Quito, Ecuador.
  • Aguilar-Rodríguez D; Instituto de Investigación en Zoonosis (CIZ), Universidad Central del Ecuador, Quito, Ecuador.
  • Cooper P; Facultad de Medicina Veterinaria y Zootecnia, Universidad Central del Ecuador, Quito, Ecuador.
Front Public Health ; 11: 1079042, 2023.
Article em En | MEDLINE | ID: mdl-37601195
Babesiosis is a protozoan disease acquired by the bite of different species of ticks. More than 100 Babesia spp. infect wild and domestic animals worldwide, but only a few have been documented to infect humans. Generally, babesiosis is asymptomatic in immunocompetent persons; however, in immunocompromised can be life-threatening. A 13-year-old boy from the Amazon region presented with a 3-month evolution of fever, chills, general malaise, and arthralgia accompanied by anemia and jaundice. In the last 4 years was diagnosed with chronic kidney failure. By nested-PCR using 18S RNA ribosomal gene as target and DNA sequencing, the phylogenetic analysis showed Babesia bigemina as the causative agent in the blood. Treatment with oral quinine plus clindamycin for six continuous weeks was effective with no relapse occurring during 12 months of follow-up. This is the second human case in Ecuador but the first caused by the zoonotic B. bigemina which confirms the existence of active transmission that should alert public health decision-making authorities on the emergence of this zoonosis and the need for research to determine strategies to reduce tick exposure.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Babesia / Babesiose / Carrapatos Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Adolescent / Animals / Humans / Male País/Região como assunto: America do sul / Ecuador Idioma: En Revista: Front Public Health Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Equador País de publicação: Suíça
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Babesia / Babesiose / Carrapatos Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Adolescent / Animals / Humans / Male País/Região como assunto: America do sul / Ecuador Idioma: En Revista: Front Public Health Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Equador País de publicação: Suíça