Evidence map›Paper›PMID 38774593›Full record

ArticleCase reports in infectious diseases2024

Atovaquone-Proguanil: A Promising Therapy for Persistent Relapsing Babesiosis.

Mahum Shahid, Brendan Wechsler, Vinod Parameswaran, Mark Anthony Diaz

Abstract readCase Reports
In one paragraph

Article in Case reports in infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Vesicular mechanisms of drug resistance in apicomplexan parasites.Microbiology and molecular biology reviews : MMBR · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mahum ShahidUniversity of South Dakota Sanford School of Medicine, Vermillion, SD, USA.ORCID https://orcid.org/0000-0002-3548-4370
Brendan WechslerUniversity of Nebraska Medical Center, Department of Radiology, Omaha, NE, USA.
Vinod ParameswaranAvera Medical Group, Oncology and Hematology Department, Sioux Falls, SD, USA.
Mark Anthony DiazUniversity of South Dakota Sanford School of Medicine, Vermillion, SD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a challenging case of persistent relapsing babesiosis in an immunocompromised host that was successfully managed with atovaquone-proguanil (Malarone). Malignant B-cell transformation and immunosuppressants, such as rituximab, deplete normal B-cells which normally produce antibodies to combat Babesia infection. Treatment can be prolonged and challenging in immunocompromised hosts. Atovaquone-proguanil (Malarone) is a novel therapy that can be used as part of a salvage regimen in case antimicrobial resistance or failure exists. Weighing the risks and benefits of continuing cancer therapy treatment or reducing the level of immunosuppression may aid in treatment. These are just as important as the choice of antimicrobial therapy for effective treatment and eradication of Babesia infection, especially in immunocompromised hosts.

Identifiers

PMID38774593
PMCPMC11108688

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.