Babesia microti is a parasite that infects red blood cells and is transmitted mainly through the bite of the black-legged tick (the same tick that spreads Lyme disease). Infection with this parasite causes a condition called babesiosis, which can range from mild flu-like symptoms to life-threatening illness in people with weakened immune systems, no spleen, or other chronic health conditions.
When the immune system encounters Babesia microti, it produces antibodies, proteins made by specialized immune cells to recognize and help fight the infection. Two key types of antibodies are measured:
This panel helps you determine if you've been exposed to the parasite, is in the early stages of infection, or has developed longer-term immunity. That said, antibody tests are not perfect. In early infection, antibodies may not yet be detectable, and in immunocompromised patients, the immune system may fail to produce a measurable antibody response. In such cases, other methods, like a blood smear under the microscope or PCR testing to detect Babesia DNA, are often needed to confirm the diagnosis.
Clinically, babesiosis can mimic malaria, since both parasites infect red blood cells and cause cycles of fever, chills, and anemia. Severe cases may lead to jaundice (yellowing of the skin and eyes), low blood counts, and organ complications. Early recognition is important, as timely treatment with antiparasitic medications can prevent serious outcomes.