alexa Babesia microti Infection in Pregnancy Mimicking HELLP
ISSN: 2155-9597

Journal of Bacteriology & Parasitology
Open Access

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Case Report

Babesia microti Infection in Pregnancy Mimicking HELLP Syndrome

Bethany M. Mulla1*, Tariro Mupombwa1, James E. Kirby2 and Barbara M. O’Brien1

1Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston MA, USA

2Department of Pathology, Beth Israel Deaconess Medical Center, Brookline Avenue, Boston MA, USA

Corresponding Author:
Bethany M. Mulla
Department of Obstetrics and Gynecology
Beth Israel Deaconess Medical Center 330 Brookline Avenue, Boston, MA 02215, USA
Tel: 757-277-3360
Fax: 617-667-4867
E-mail: [email protected]

Received Date: November 21, 2016; Accepted Date: December 08, 2016; Published Date: December 12, 2016

Citation: Mulla BM, Mupombwa T, Kirby JE, O’Brien BM (2016) Babesia microti Infection in Pregnancy Mimicking HELLP Syndrome. J Bacteriol Parasitol 7:297. doi: 10.4172/2155-9597.1000297

Copyright: © 2016 Mulla BM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Babesiosis during pregnancy is an uncommon cause of hemolysis during pregnancy and may have a similar presentation to hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome. We report a case of a 34- year-old healthy gravida 3 para 1-0-1-1 at 38 weeks of gestation who was transferred to our tertiary care center for induction of labor for suspected HELLP syndrome. Peripheral blood smear from the referring hospital showed intraerythrocytic ring forms consistent with Babesia microti infection. She was treated with clindamycin and quinine and had a vaginal delivery of a healthy infant. This case demonstrates that although uncommon, babesiosis should be on the differential for imitators of HELLP syndrome to optimize treatment and outcomes.


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