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A Cluster of Cases of Babesia microti Among Neonates Traced to a Single Unit of Donor Blood

Glanternik, Julia R. MD, FAAP*; Baine, Ian L. MD, PhD; Rychalsky, Michelle R. PharmD; Tormey, Christopher A. MD§; Shapiro, Eugene D. MD; Baltimore, Robert S. MD, FAAP, FSHEA, FIDSA

The Pediatric Infectious Disease Journal: March 2018 - Volume 37 - Issue 3 - p 269–271
doi: 10.1097/INF.0000000000001803
Pathogenesis and Host Response

Three premature infants in 1 neonatal intensive care unit developed transfusion-transmitted babesiosis. Two of the infants developed high-grade parasitemia. All 3 affected infants were treated and cured with azithromycin and atovaquone. No infant required exchange transfusion. Clinicians should be cognizant that babesiosis may be acquired via blood transfusion.

From the *Division of Infectious Diseases, Department of Pediatrics and Department of Pathology, Yale School of Medicine, New Haven, Connecticut; Department of Pharmacy and §Department of Laboratory Medicine, Yale-New Haven Hospital, New Haven, Connecticut; and Yale School of Public Health, New Haven, Connecticut.

Accepted for publication June 30, 2017.

The authors have no conflicts of interest to disclose.

Address for correspondence: Julia R. Glanternik, MD, FAAP, Division of Infectious Diseases, Department of Pediatrics, Yale School of Medicine, New Haven, CT. E-mail:

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