Background: The incidence of tickborne disease has recently increased in the United States, as longer summers and milder winters have led to a surge in tick populations (1). The impact has been most marked in New England, where temperatures are rising faster than the global average, particularly in winter (2). Babesiosis is a tickborne illness [...]

Case Presentation: A 70-year-old male with a past medical history of nephrotic syndrome secondary to anti-phospholipase A2 receptor (anti-PLA2R) associated membranous nephropathy presented with acute, progressive dyspnea. Exam was notable for pallor and his admission hemoglobin was 4.8. Initial labs also showed WBC 2.9, platelets 104, LDH 724, ferritin 2,215, Creatinine 1.8. Blood smear remarkable [...]

Case Presentation: A 58-year-old man with a history of Lyme disease was diagnosed with babesiosis two weeks earlier, confirmed by positive Babesia Polymerase Chain Reaction (PCR), and treated with a 10-day course of azithromycin and atovaquone. He returned with fatigue and exertional dyspnea, and labs indicated worsening pancytopenia. Suspecting hemolysis and bone marrow suppression from [...]

Case Presentation: 82 year-old female with prior history of hypertension visiting from rural Wisconsin who presented to a Georgia hospital emergency room with cough, exertional dyspnea, fever, and fatigue. Temperature 40 degrees Celsius with other vital signs normal. Lung exam with expiratory crackles bilateral lung fields. Cardiac and skin exam were normal. Hematology labs with [...]