Table 1. HELLP versus Babesiosis.

	HELLP syndrome	Babesiosis
Clinical Manifestations	Nausea, vomiting, diarrhea, malaise, abdominal pain, midepigastric pain, headache, jaundice, visual changes, ± elevated blood pressure	Fever, myalgias, arthralgias, anorexia, fatigue, chills/sweats, headache, abdominal pain, photophobia
Laboratory findings	Hemolysis, liver enzymes, LDH, BUN/Cr, Thrombocytopenia, ± proteinuria	Hemolysis, liver enzymes, LDH, BUN/Cr, thrombocytopenia, hematuria, ± proteinuria
Complications	DIC, liver infarction, renal failure, pulmonary edema	ARDS, DIC, CHF, coma, liver failure, renal failure, splenic rupture.
Treatment	Delivery	Clindamycin/quinine, exchange transfusion for some patients.

Abbreviations: ARDS, acute respiratory distress syndrome; BUN, blood urea nitrogen; CHF, congestive heart failure; Cr, creatinine; DIC, disseminated intravascular coagulation; HELLP, hemolysis, elevated liver enzymes, and low platelets; LDH, lactate dehydrogenase.