{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T16:48:54Z","timestamp":1770223734241,"version":"3.49.0"},"reference-count":32,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jem-journal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Emergency Medicine"],"published-print":{"date-parts":[[2018,11]]},"DOI":"10.1016\/j.jemermed.2018.08.004","type":"journal-article","created":{"date-parts":[[2018,9,22]],"date-time":"2018-09-22T18:11:38Z","timestamp":1537639898000},"page":"e113-e117","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Unusual Complications From Babesia Infection: Splenic Infarction and Splenic Rupture in Two Separate Patients"],"prefix":"10.1016","volume":"55","author":[{"given":"Benjamin","family":"Blackwood","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Binder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jemermed.2018.08.004_bib1","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/j.idc.2015.02.008","article-title":"Babesiosis","volume":"29","author":"Vannier","year":"2015","journal-title":"Infect Dis Clin North Am"},{"key":"10.1016\/j.jemermed.2018.08.004_bib2","author":"Centers for Disease Control and Prevention (CDC)"},{"key":"10.1016\/j.jemermed.2018.08.004_bib3","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.ttbdis.2011.08.001","article-title":"Non-surgical management of spontaneous splenic rupture due to Babesia microti infection","volume":"2","author":"El Khoury","year":"2011","journal-title":"Ticks Tick Borne Dis"},{"key":"10.1016\/j.jemermed.2018.08.004_bib4","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1016\/j.ttbdis.2015.05.010","article-title":"Atraumatic splenic rupture from Babesia: a disease of the otherwise healthy patient","volume":"6","author":"Farber","year":"2015","journal-title":"Ticks Tick Borne Dis"},{"key":"10.1016\/j.jemermed.2018.08.004_bib5","first-page":"390","article-title":"Case report: spontaneous splenic rupture during acute parasitemia of Babesia microti","volume":"38","author":"Froberg","year":"2008","journal-title":"Ann Clin Lab Sci"},{"key":"10.1016\/j.jemermed.2018.08.004_bib6","doi-asserted-by":"crossref","first-page":"e92","DOI":"10.1086\/587175","article-title":"Spontaneous splenic rupture caused by Babesia microti infection","volume":"46","author":"Kuwayama","year":"2008","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.jemermed.2018.08.004_bib7","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1016\/j.jvir.2011.01.439","article-title":"Spontaneous splenic rupture secondary to Babesia microti infection: treatment with splenic artery embolization","volume":"22","author":"Reis","year":"2011","journal-title":"J Vasc Interv Radiol"},{"key":"10.1016\/j.jemermed.2018.08.004_bib8","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1016\/j.amjmed.2013.04.010","article-title":"Hoof beats may mean zebras: atraumatic splenic rupture","volume":"126","author":"Seible","year":"2013","journal-title":"Am J Med"},{"key":"10.1016\/j.jemermed.2018.08.004_bib9","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1097\/IPC.0b013e31809fe523","article-title":"Babesiosis, Significance of spleen function illustrated by postsplenectomy course in 3 cases","volume":"16","author":"Siderits","year":"2008","journal-title":"Infect Dis Clin Pract"},{"key":"10.1016\/j.jemermed.2018.08.004_bib10","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/1749-7922-6-4","article-title":"Case report: successful non-operative management of spontaneous splenic rupture in a patient with babesiosis","volume":"6","author":"Tobler","year":"2011","journal-title":"World J Emerg Surg"},{"key":"10.1016\/j.jemermed.2018.08.004_bib11","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.idcr.2014.08.002","article-title":"Spontaneous splenic rupture due to Babesia microti infection: case report and review of the literature","volume":"1","author":"Usatii","year":"2014","journal-title":"IDCases"},{"key":"10.1016\/j.jemermed.2018.08.004_bib12","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1177\/000313481107700326","article-title":"Babesiosis as a cause of fever in patients undergoing a splenectomy","volume":"77","author":"Wormser","year":"2011","journal-title":"Am Surg"},{"key":"10.1016\/j.jemermed.2018.08.004_bib13","doi-asserted-by":"crossref","first-page":"e8","DOI":"10.1086\/524081","article-title":"Splenic infarction in human babesiosis: two cases and discussion","volume":"46","author":"Florescu","year":"2008","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.jemermed.2018.08.004_bib14","first-page":"78","article-title":"Babesia parasitemia causing splenic infarction: a review of the literature","volume":"3","author":"Wong","year":"2016","journal-title":"Case Rep Intern Med"},{"key":"10.1016\/j.jemermed.2018.08.004_bib15","doi-asserted-by":"crossref","first-page":"335","DOI":"10.12659\/AJCR.908453","article-title":"Splenic rupture as the first manifestation of Babesia microti infection: report of a case and review of literature","volume":"19","author":"Dumic","year":"2018","journal-title":"Am J Case Rep"},{"key":"10.1016\/j.jemermed.2018.08.004_bib16","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1016\/j.jemermed.2015.01.013","article-title":"A gardener with a fever for 2 weeks","volume":"48","author":"Binder","year":"2015","journal-title":"J Emerg Med"},{"key":"10.1016\/j.jemermed.2018.08.004_bib17","doi-asserted-by":"crossref","first-page":"2397","DOI":"10.1056\/NEJMra1202018","article-title":"Human babesiosis","volume":"366","author":"Vannier","year":"2012","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jemermed.2018.08.004_bib18","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.1086\/508667","article-title":"The clinical assessment, treatment, and prevention of lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America","volume":"43","author":"Wormser","year":"2006","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.jemermed.2018.08.004_bib19","doi-asserted-by":"crossref","first-page":"431","DOI":"10.4269\/ajtmh.2003.68.431","article-title":"Increasing health burden of human babesiosis in endemic sites","volume":"68","author":"Krause","year":"2003","journal-title":"Am J Trop Med Hyg"},{"key":"10.1016\/j.jemermed.2018.08.004_bib20","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1016\/j.pt.2007.09.005","article-title":"Shared features in the pathobiology of babesiosis and malaria","volume":"23","author":"Krause","year":"2007","journal-title":"Trends Parasitol"},{"key":"10.1016\/j.jemermed.2018.08.004_bib21","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1056\/NEJM199807163390304","article-title":"Persistent parasitemia after acute babesiosis","volume":"339","author":"Krause","year":"1998","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jemermed.2018.08.004_bib22","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/s12941-017-0179-z","article-title":"Hematologic manifestations of babesiosis","volume":"16","author":"Akel","year":"2017","journal-title":"Ann Clin Microbiol Antimicrob"},{"key":"10.1016\/j.jemermed.2018.08.004_bib23","doi-asserted-by":"crossref","first-page":"2149","DOI":"10.1001\/archinte.158.19.2149","article-title":"Human babesiosis in New York State: review of 139 hospitalized cases and analysis of prognostic factors","volume":"158","author":"White","year":"1998","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.jemermed.2018.08.004_bib24","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1086\/319742","article-title":"Severe Babesisosis in Long Island: review of 34 cases and their complications","volume":"32","author":"Hatcher","year":"2001","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.jemermed.2018.08.004_bib25","doi-asserted-by":"crossref","first-page":"2280","DOI":"10.18203\/2349-2902.isj20163613","article-title":"Surgical management of atraumatic splenic rupture","volume":"3","author":"Walker","year":"2016","journal-title":"Int Surg J"},{"key":"10.1016\/j.jemermed.2018.08.004_bib26","doi-asserted-by":"crossref","first-page":"1114","DOI":"10.1002\/bjs.6737","article-title":"Systematic review of atraumatic splenic rupture","volume":"96","author":"Renzulli","year":"2009","journal-title":"Br J Surg"},{"key":"10.1016\/j.jemermed.2018.08.004_bib27","first-page":"489","article-title":"Human babesiosis","volume":"69","author":"Rozej-Bielicka","year":"2015","journal-title":"Przegl Epidemiol"},{"key":"10.1016\/j.jemermed.2018.08.004_bib28","doi-asserted-by":"crossref","first-page":"114","DOI":"10.3201\/eid1701.100737","article-title":"Babesiosis in immunocompetent patients, Europe","volume":"17","author":"Martinot","year":"2011","journal-title":"Emerg Infect Dis"},{"key":"10.1016\/j.jemermed.2018.08.004_bib29","doi-asserted-by":"crossref","first-page":"1767","DOI":"10.1001\/jama.2016.2884","article-title":"Diagnosis, treatment, and prevention of Lyme disease, human granulocytic anaplasmosis, and babesiosis: a review","volume":"315","author":"Sanchez","year":"2016","journal-title":"JAMA"},{"key":"10.1016\/j.jemermed.2018.08.004_bib30","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/j.ttbdis.2013.12.001","article-title":"Detection of Borrelia burgdorferi, Anaplasma phagocytophilum and Babesia microti, with two different multiplex PCR assays","volume":"5","author":"Hojgaard","year":"2014","journal-title":"Ticks Tick Borne Dis"},{"key":"10.1016\/j.jemermed.2018.08.004_bib31","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1093\/infdis\/169.4.923","article-title":"Diagnosis of babesiosis: evaluation of a serologic test for the detection of Babesia microti antibody","volume":"169","author":"Krause","year":"1994","journal-title":"J Infect Dis"},{"key":"10.1016\/j.jemermed.2018.08.004_bib32","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.pt.2015.09.008","article-title":"Coinfection by Ixodes tick-borne pathogens: ecological, epidemiological, and clinical consequences","volume":"32","author":"Diuk-Wasser","year":"2016","journal-title":"Trends Parasitol"}],"container-title":["The Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S073646791830831X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S073646791830831X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:41:45Z","timestamp":1760028105000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S073646791830831X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":32,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["S073646791830831X"],"URL":"https:\/\/doi.org\/10.1016\/j.jemermed.2018.08.004","relation":{},"ISSN":["0736-4679"],"issn-type":[{"value":"0736-4679","type":"print"}],"subject":[],"published":{"date-parts":[[2018,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Unusual Complications From Babesia Infection: Splenic Infarction and Splenic Rupture in Two Separate Patients","name":"articletitle","label":"Article Title"},{"value":"The Journal of Emergency Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jemermed.2018.08.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}