Emergence of babesiosis in China-Myanmar border areas
© Zhou et al. 2015
Received: 1 May 2015
Accepted: 1 July 2015
Published: 25 July 2015
E. Vannier and P. J. Krause presented an excellent article on “Babesiosis in China, an emerging threat” in the Lancet Infectious Diseases in December 2014, which updated research on human babesiosis in China. However, a neglected and emerging issue has not been mentioned in EV & PJK’s article, that is the co-infections with B. microti and P. falciparum parasites that exist in syndemic areas, spatially in the China-Myanmar border areas of Yunnan province, China. Therefore, two important issues are addressed in here, including (i) the new emerging infections with Babesia spp. which are normally ignored in malaria endemic areas due to similarities in pathogenic morphology and clinical symptoms, (ii) additional consideration on babesiosis rather than drug-resistant malaria when anti-malaria treatment for the febrile cases in clinics fails.
KeywordsBabesiosis China-Myanmar border Malaria Syndemic Emerging Febrile case
To the Editor
To promote correct identification and effective control of babesiosis and malaria in syndemic areas, clinical doctors and public health workers should be aware of the following information: (i) how to apply the molecular technologies to clearly distinguish babesiosis from malaria in order to overcome the difficulties in microscopy diagnosis due to their similarities in morphology and clinical symptoms, and (ii) to consider human babesiosis rather than drug-resistant malaria when febrile cases in anti-malaria treatment fail.
This work was supported by the National Natural Science Foundation of China (no. 81273192).
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