{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T14:50:51Z","timestamp":1780757451438,"version":"3.54.1"},"reference-count":38,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,1,25]],"date-time":"2018-01-25T00:00:00Z","timestamp":1516838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Tick\u2010borne infections in solid organ transplant recipients are an infrequent and difficult diagnostic challenge owing to multiple routes of acquisition and unusual presentations. A 67\u2010year\u2010old male recipient of a combined liver and kidney transplant presented with recurrent fevers following surgery. Standard microbiologic workup was non\u2010diagnostic. Shortness of breath, confusion, lethargy, and hypotension developed along with progressive anemia, requiring multiple blood transfusions. Workup suggested hemolysis and review of the peripheral smear was diagnostic for <jats:italic><jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>abesia microti<\/jats:italic> infection. Tick transmission, transmission via blood products, and\/or the transplanted organ were all considered. More extensive questioning revealed a history of intermittent fevers for several months before transplantation. Testing of pre\u2010transplant blood was positive for <jats:italic><jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>.\u00a0microti<\/jats:italic> antibodies, suggesting infection prior to transplantation. The delayed diagnosis of babesiosis in this patient highlights the need for a detailed exposure history prior to transplantation, as well as considering the potential for atypical presentations of tick\u2010borne infections in immune suppressed solid organ recipients. Furthermore, this case illustrates the importance of early Infectious Disease consultation to meet the challenges exhibited by febrile transplant patients. Infectious Diseases physicians are trained to consider, diagnose, and treat tick\u2010borne infections, contributing to improved clinical outcome.<\/jats:p>","DOI":"10.1111\/tid.12830","type":"journal-article","created":{"date-parts":[[2017,12,26]],"date-time":"2017-12-26T08:07:09Z","timestamp":1514275629000},"source":"Crossref","is-referenced-by-count":5,"title":["Tick\u2010borne illness after transplantation: Case and review"],"prefix":"10.1111","volume":"20","author":[{"given":"Tresa Reena","family":"Mascarenhas","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases Thomas Jefferson University Hospital  Philadelphia PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randi S.","family":"Silibovsky","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases Sydney Kimmel Medical College Thomas Jefferson University Hospital  Philadelphia PA 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