Babesiosis should be how is it treated?
(A) treatment
1. Generally associated with high fever pain are symptomatic therapy has to be antipyretic, analgesic treatment. Significant hemolysis, could be blood transfusion. Note that rest, food.
2. Clindamycin resistance of the original treatment for the drug of choice, 20mg / (kg · d), intramuscular injection of 7 to 10 days. Received a blood transfusion of premature infants infected with small Babesia, could increase with quinine, 25mg / (kg · d), oral administration of 7 ~ 10 days. Already removed the spleen of adult patients, can be used Clindamycin 60mg / (kg · d) intramuscular injection for 7 days. At the same time oral quinine 650mg, 3 times / d and continued for 7 days. Intramuscular injection of clindamycin alone or with oral quinine Wu use, providing rapid cooling, and reducing the parasitemia, the raw material for the treatment of small Babesia in recent years due to human Babesiosis safe and effective drugs. Wu quinine and chloroquine sulfate use, is also effective.
(B) the prognosis
Light, medium and are required to timely diagnosis and treatment of disease will receive a cure without sequelae. Severe hemolysis, renal failure, the spleen removed and there is a history of poor prognosis. Case-fatality rate of about 5%. Occur in patients with chronic parasitemia, sustainable two years to a few years.