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Correspondence
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Volume 349:2467 December 18, 2003 Number 25
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Case 29-2003: A 60-Year-Old Man with Fever, Rigors, and Sweats

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 by Gutman, J. D.
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To the Editor: In Case 29-2003 (Sept. 18 issue),1 it was hypothesized that the Howell–Jolly bodies seen in the blood smear of a patient with babesiosis were actually intracellular parasites (Babesia microti). In a recent case of babesiosis in an asplenic patient at our hospital, the blood smear contained both Howell–Jolly bodies and intracellular parasites.

Our patient was a 57-year-old man with a history of gastric cancer who had undergone a total gastrectomy and splenectomy. He presented with fevers and constitutional symptoms that had begun one month earlier, after he had visited Long Island, New York. Laboratory values . . . [Full Text of this Article]


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