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Emergence of Resistance to Azithromycin‐Atovaquone in Immunocompromised Patients withBabesia microtiInfection
Author(s) -
Gary P. Wormser,
Aakanksha Prasad,
Ellen Neuhaus,
Samit R. Joshi,
John Nowakowski,
John C. Nelson,
Abraham Mittleman,
Maria AgueroRosenfeld,
Jeffrey Topal,
Peter J. Krause
Publication year - 2010
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/649859
Subject(s) - atovaquone , virology , medicine , azithromycin , babesiosis , babesia , microbiology and biotechnology , immunology , malaria , biology , antibiotics , plasmodium falciparum
Babesiosis is an emerging tickborne malaria-like infection principally caused by Babesia microti. This infection typically resolves either spontaneously or after administration of a 7-10-day course of azithromycin plus atovaquone or clindamycin plus quinine. Although certain highly immunocompromised patients may respond suboptimally to these drug regimens, unlike the situation with malaria there has been no reported evidence that the cause of treatment failure is infection with drug-resistant strains of B. microti.

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