Radiology Case Reports (Jul 2022)

Splenic artery embolization for spontaneous splenic rupture due to Babesiosis: a case report

  • Behnaz Khazai, MD, MSc,
  • Matthew J. Homsi, DO,
  • Cecile Diane Moliva Anendaga, MD,
  • Eric Reiner, MD,
  • Todd J. Everett, MD,
  • Francis T. Flaherty, MD,
  • Michael D. Hollander, MD

Journal volume & issue
Vol. 17, no. 7
pp. 2304 – 2308

Abstract

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Babesiosis incidence in the United States has been increasing with an 11% rise between 2018 and 2019 based on the latest CDC annual summary, reaching its highest ever reported incidence. This primarily tick-borne disease is particularly prevalent in New England. Despite predominantly nonspecific and at times subtle symptoms, life-threatening complications do occur. One such complication is splenic rupture which has been suggested to be more common in younger and otherwise healthy individuals. This is a report on a successful splenic artery embolization in a 65-year-old male from upstate New York who, unlike most prior studies, showed splenic rupture after he was discharged with negative parasitemia and general improvement following several days of targeted antibiotic therapy. Increased incidence and various presentations of Babesiosis call for an attempt to promote clinical awareness for radiologists among other specialties.

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