Variable | Human granulocytic anaplasmosis | Lyme disease | Babesiosis |
---|---|---|---|
Clinical presentation | Flu-like symptoms, headache, gastrointestinal symptoms | Localized: flu-like symptoms, lymphadenopathy Disseminated: rheumatologic, cardiac, neurologic complications | Flu-like symptoms, anorexia, nausea, hepatosplenomegaly, psychiatric symptoms |
Rash | Uncommon | Erythema migrans at site of tick bite | Uncommon |
Laboratory | Thrombocytopenia, leukopenia, mild anemia, moderate transaminitis | Normal hematologic panel, mild transaminitis | Thrombocytopenia, hemolytic anemia, acute kidney injury, mild transaminitis |
Treatment* | Doxycycline, 100 mg orally, twice per day | Atovaquone, 750 mg orally, twice per day, or azithromycin, 250–1000 mg orally, daily | |
Duration of treatment, d | 10–14 | 14–21 | 7–10 |
Treatment of disseminated Lyme involves parenteral therapy.