Cerebral Babesiosis in a Geriatric Pomeranian- A Case Report Weakness

Canine babesiosis is a globally significant haemoprotozoan disease caused primarily by Babesia gibsoni and Babesia canis, with clinical presentations ranging from subclinical carriers to fulminant, life-threatening illness. While hematological and systemic manifestations are well documented, central nervous system (CNS) involvement is an uncommon and often overlooked presentation, particularly in geriatric animals, where clinical signs may be non-specific. The current case describes a ten-year-old female Pomeranian exhibiting progressive ataxia, systemic lethargy, and prolonged anorexia in the absence of overt haematologic crisis. Peripheral blood smear examination revealed intraerythrocytic piroplasms consistent with Babesia gibsoni. Treatment with atovaquone and azithromycin led to significant clinical improvement, supported by hepatoprotective and metabolic therapy.