Q: All of the following antimicrobials are found to be effective in the treatment of severe babesiosis except?
The most commonly used drug regimen for severe babesiosis is intravenous azithromycin plus oral atovaquone. Intravenous clindamycin plus oral quinine can be used as an alternative treatment. Therapy should be guided by the level of parasitemia and blood smears.
Red blood cell exchange transfusion should be considered as an immediate life-saving therapy or if antimicrobial therapy fails.
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