“…Each parasite induces the formation of knobby protrusions on the surface of the IRBC (3,8,27,47), which mediate adhesion to the endothelium (2,27,45,47,49). Parasite-derived antigens associated with the IRBC surface, and potentially with cytoadhesion, are subject to rapid antigenic variation (7,12). Both parasites are sequestered in the capillaries of many host tissues, an activity thought to contribute significantly to the pathologic effects of both malaria and babesiosis (1,15,28,37,38,(47)(48)(49), particularly the cerebral complications that are the hallmark of these two diseases (1,2,15,28,47).…”