Online exclusiveVariable clinical presentations of babesiosis A case seriesPaparone, Pamela DNP, APN; Paparone, Philip W. DOAuthor Information Pamela Paparone is an NP at the Atlantic County Health Department, Northfield, N.J. Philip W. Paparone is a communicable disease physician at the Atlantic County Health Department, Northfield, N.J. The authors have disclosed no financial relationships related to this article. The Nurse Practitioner: November 16, 2017 - Volume 42 - Issue 11 - p 1-7 doi: 10.1097/01.NPR.0000525721.83984.14 Buy Metrics Abstract Human babesiosis continues to spread in multiple regions of the United States. It is transmitted by Ixodes species ticks, as are Lyme disease and anaplasmosis. Its variable clinical presentations, together with serologic detection limitations, require that a high index of clinical suspicion be present for prompt diagnosis. This article discusses case presentations showing the wide range of symptoms and presentations that are possible with babesiosis. Wolters Kluwer Health, Inc. All rights reserved.