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Volume 27, Number 7—July 2021
Research Letter

Anthemosoma garnhami in an HIV-Infected Man from Zimbabwe Living in South Africa

David Stead, Desiree du Plessis, Lisa Ming Sun, and John FreanComments to Author 
Author affiliations: Walter Sisulu University, Mthatha, South Africa (D.F. Stead); Cecilia Makiwane Hospital, East London, South Africa (D.F. Stead); National Institute for Communicable Diseases, Johannesburg, South Africa (D. du Plessis, L. Ming Sun, J. Frean); University of the Witwatersrand, Johannesburg (J. Frean)

Main Article


Laboratory findings over time for an HIV-positive patient from Zimbabwe living in South Africa who was infected with the rodent piroplasm Anthemosoma garnhami

Laboratory test Dates
Reference values
2019 May 31 2019 Jun 7* 2019 Jun 20 2020 Aug 31† 2020 Nov 11
Hemoglobin, g/L 45 40 92 59 96 132–173
Mean cell volume, × 1015/L 82 73 84 81 84 80–99
Leukocyte count, × 109/L 0.34 2.4 3.6 2.2 3.8 4–11
Platelet count, × 109/L 123 140 184 56 103 137–373
Reticulocytes, % 5.6 0.5–1.5
Creatinine, mg/dL 0.79 0.5–1.5
Total bilirubin, mg/dL 0.41 0.3–1.0
Aspartate transaminase, U/L 111 10–30
Alanine transaminase, U/L 19 47 10–40
Lactate dehydrogenase, U/L 922 100–200
Haptoglobin, g/L <0.1 0.3–2.0
CD4, cells/mm3 70 195 500–1,200
HIV ELISA Positive
Sputum Xpert MTB/RIF‡ Negative

*Date of treatment initiation. †Date of recrudescence and retreatment initiation. ‡Mycobacterium tuberculosis and rifampin resistance testing (Cepheid,

Main Article

Page created: May 04, 2021
Page updated: June 17, 2021
Page reviewed: June 17, 2021
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