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Babesia                                                         49

              Distribution

            Most human cases were reported from the USA and are mainly caused by Babesia
            microti.


              Habitat

            In human, the parasites are found in the erythrocytes.


              Morphology

            Trophozoites are 2–5 μm in diameter found inside the red cells. The shape may be
            pyriform, amoeboid, or spindle-like, usually in pairs and are often mistaken as ring
            form of Plasmodium.


              Life Cycle (Fig. 6.3)

            The definitive host is Ixodid ticks. Humans and rodents are the intermediate hosts.
            Modes of transmission to human are through bite of Ixodid ticks and via blood
            transfusion.



                                                  B
                                  i               d             8  Transmitted from
                               6  Tick takes a                   human-to-human
                         blood meal (sporozoites    trophozoite  via blood transfusion
                         introduced into host)
                                                       7
                                                     merozoite


                i  = Infective Stage
               d = Diagnostic Stage
                                             Tick takes
                        sporozoites i      1  a blood meal
                                          (sporozotes introduced
                                              into host)
                sporogony
                                                     Mouse       trophozoite
                             Tick
                     5
            Ookinete enters                4  Tick takes             2
             salivary gland   A             a blood meal
                                          (ingests gametes)       merozoite

                      fertilization
                       in gut
                                                             3
                                                        gamete
            Fig. 6.3  Life cycle of Babesia (Reproduced from https://www.cdc.gov/dpdx/babesiosis/index.html)
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