What is your approach to monitoring blood parasite smears in an immunocompetent patient with babesiosis?
Do you continue smears until documented resolution, or by clinical progress?
Answer from: at Community Practice
In an immunocompetent person the response rate to the treatment of acute babesiosis is extremely high and if a person is clinically improving follow-up smears are probably unnecessary. However, I generally check one at 48 hours to confirm a decrease in parasite burden. If that is favorable and the p...