“…Peracute infection is rare and characterized by signifi cant tissue damage and high mortality rate. Acute babesiosis is characterized by fever, tachycardia with hyperdynamic pulse pressures, lethargy, varying degrees of hemolytic anaemia, pallor, anorexia, vomiting, dehydration, splenomegaly, lymphadenomegaly, thrombocytopenia, jaundice, pigmenturia, hypotension and water hammer pulse [21,[125][126][127][128][129]. Chronic infections are often asymptomatic, since many "carrier" dogs do not have any clinical signs as a result of premunition or concomitant immunity unless their health deteriorates, as a consequence of immunosuppressive therapy, splenectomy, or any other immune-compromised situation [130].…”