Complications

Complication
Timeframe
Likelihood
short term
low

Rare complication of severe infection, frequently due to adult respiratory distress syndrome. More frequently seen with parasitaemia >10% and in older or immunocompromised patients.

short term
low

Rare complication of severe infection, seen with parasitaemia >10% and in older or immunocompromised patients.

short term
low

Rare complication of severe infection, seen in the setting of severe anaemia from haemolysis. Often occurs in patients with underlying cardiac dysfunction or known coronary artery disease.

short term
low

Rare complication of severe infection, seen in the setting of multi-organ failure in older or immunocompromised patients with parasitaemia >10%.

short term
low

Rare complication of severe infection, although varying degrees of renal dysfunction with severe disease are more frequently seen.

variable
medium

Frequently seen in patients receiving clindamycin and quinine, often necessitating dose reduction.

Symptoms may persist for months after treatment is completed.

variable
low

Most frequently seen in immunocompromised patients, especially those with HIV infection, and in patients with severe disease.

Rare complication of mild or moderate disease in young, healthy patients.

variable
low

Sporadic cases of post-babesiosis warm-antibody autoimmune haemolytic anaemia have been reported in asplenic patients. Immunosuppressant treatment may be required.[43]

variable
low

Splenic complications are rare and include splenomegaly, splenic rupture, and splenic infarct. Unlike other severe complications, these complications often occur in younger and immunocompetent patients, and they do not correlate with parasitaemia level.[7]

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