BlazerGermany said...
thanks for clarifying.
i didnt know artefacts are that easy to produce under giemsa stain as i am a newbie on that field..
so just to clarify further -
giemsa is known to be a stain that actually produces its own artefacts - it can be minimised with good technique but is always present to some degree
but the main problem is that there are things in normal blood that are real physical objects - that pick up stain - and can be indistinguishable from Babesia
platelets for instance stain the same colour as babesia - and have variable size and shape - so some of them are essentially identical in appearance - so even the best experts cannot tell them apart.
if there are enough babesia it gets much easier - as there will also be more definitive examples
BlazerGermany said...
maybe atovaquone + doxycycline but never read about that combination.
doxycycline is given as a antimalaria preventative to people who are traveling to endemic regions - so yes i believe it can be used alongside atovaquone. if i recall correctly one stage of the apicomplexan lifecycle is susceptible to many common antibiotics - and the other stages of its lifecycle only susceptible to antimalarials - and that's why they are used in this combination.
babesia is still a possibility in my own case - i have never seen real clear evidence in all the slides i have done - so its doubtful - but - given the potential for it to be present at very low levels in the circulating blood in chronic cases - its a hard one to bottom out
keep us posted how you get on with your various trails