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September 19, 1977, Vol 238, No. 12 >
ARTICLE | September 19, 1977

Nantucket Fever: Title and subTitle BreakAn Additional Case of Babesiosis FREE

William B. Scharfman, MD; Edwin G. Taft, MD
[+] Author Affiliations

Reprint requests to Division of Hematology, Albany Medical College, New Scotland Avenue, Albany, NY 12208 (Dr Scharfman).


JAMA. 1977;238(12):1281-1282. doi:10.1001/jama.1977.03280130063022
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BABESIOSIS, formerly a rarity in humans, can no longer be considered unusual. It now appears that this is a ubiquitous disorder that has been described as occurring on Nantucket Island, Martha's Vineyard, Shelter Island off the eastern coast of Long Island, and Montauk Point, the easternmost tip of Long Island. A recent editorial1 drew attention to this heretofore unusual infection, and the diagnosis in our patient was suggested by this description.

The clinical spectrum of the disease suggests malaria. It is characterized by fever, marked lethargy and malaise, myalgia, and occasionally dark urine. Importantly, the hematologic studies show a hemolytic anemia of a nonimmune variety; leukopenia is present. Additionally, it is quite common for the results of liver function studies to be abnormal.

Report of a Case  A 53-year-old housewife who had vacationed on Nantucket Island since the middle of June was seen on Aug 20, 1976, because of fever,

REFERENCES

1 +
Desforges JF, Quemby F:  Babesia abroad . N Engl J Med 295:103-104, 1976;.
2 +
Western KA, Benson GD, Gleason NN:  Babesiosis in the Massachusetts resident . New Engl J Med 283:854-856, 1970;.
3 +
Anderson AE, Cassaday TB, Healy GR:  Babesiosis in man: Sixth documented case . Am J Clin Pathol 62:612-618, 1974;.
4 +
Healy GR, Spielman A, Gleason N:  Human babesiosis: Reservoir of infection on Nantucket Island . Science 192:479-480, 1976;.
5 +
Ruebush TK, Cassaday TB, Marsh HJ, et al:  Human babesiosis on Nantucket Island . Ann Intern Med 86:6-10, 1977;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Desforges JF, Quemby F:  Babesia abroad . N Engl J Med 295:103-104, 1976;.
2 +
Western KA, Benson GD, Gleason NN:  Babesiosis in the Massachusetts resident . New Engl J Med 283:854-856, 1970;.
3 +
Anderson AE, Cassaday TB, Healy GR:  Babesiosis in man: Sixth documented case . Am J Clin Pathol 62:612-618, 1974;.
4 +
Healy GR, Spielman A, Gleason N:  Human babesiosis: Reservoir of infection on Nantucket Island . Science 192:479-480, 1976;.
5 +
Ruebush TK, Cassaday TB, Marsh HJ, et al:  Human babesiosis on Nantucket Island . Ann Intern Med 86:6-10, 1977;.

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