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Babesiosis is a tick-borne intraerythrocytic protozoal infection, which causes illness in humans and lyses infected erythrocytes. Babesiosis infections are most common in the northeast US, where Babesia microti is endemic.1 Symptoms are nonspecific which may lead to a missed or delayed diagnosis. We present a case of severe Babesiosis requiring exchange transfusion in an immunocompetent patient with alcohol abuse and high-risk sexual behavior. [ABSTRACT FROM AUTHOR]

The article describes the case of a 16-year-old male immigrated from Honduras, the health implications of detainment in the subject, and the steps taken to ensure proper medical screening and care. He immigrated with his 15-year-old brother to avoid gang recruitment. It is noted that clinicians in the U.S. should be aware of the complex medical needs of newly-arrived immigrant children. Pediatricians have the opportunity to support the health and well-being of the population.

Dercum's disease (DD), also described as adiposis dolorosa, is a poorly understood and rare adipose tissue disorder involving obesity and painful adipose tissue masses. Patients may have associated bruising and constitutional symptoms such as fatigue, difficulty concentrating, and sleep disturbance. DD was initially described in 1888 by Francis Xavier Dercum, and was classified into four subtypes, including generalized diffuse, generalized nodular, localized nodular, and juxta-articular subtypes. While this disease has been described for more than 130 years, its etiology and treatment remain elusive. We describe a case of a patient with DD who presented to Ochsner Medical Center, New Orleans, LA, for evaluation of treatment options. We review current knowledge on this rare disease and data on modern treatment methods., (Copyright ©2021, Yale Journal of Biology and Medicine.)