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Discovery of New Intracellular Pathogens by Amoebal Coculture and Amoebal Enrichment Approaches
Published on: October 27, 2013
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Primary amoebic meningoencephalitis in an infant.
Neetu Mittal1, Lokesh Mahajan2, Zahid Hussain2
1Department of Microbiology, QRG Central Hospital and Research Centre, Faridabad, Haryana, India.
Indian Journal of Medical Microbiology
|August 20, 2019
Summary
Primary amoebic meningoencephalitis, a rare and fatal brain infection, was diagnosed in an infant. Early detection of Naegleria fowleri in cerebrospinal fluid is critical for potential management of this deadly disease.
Area of Science:
- Neurology
- Infectious Diseases
- Parasitology
Background:
- Primary amoebic meningoencephalitis (PAM) is a rare, devastating central nervous system infection.
- It is caused by the free-living amoeba Naegleria fowleri, typically affecting immunocompetent individuals.
- PAM has an extremely high mortality rate, underscoring the need for rapid diagnosis and intervention.
Observation:
- A previously healthy 8-month-old female infant presented with acute meningoencephalitis symptoms.
- Cerebrospinal fluid analysis revealed motile amoebic trophozoites.
- Polymerase chain reaction (PCR) confirmed the presence of Naegleria fowleri.
Findings:
- The case highlights the rapid progression of Naegleria fowleri infection in an infant.
- Despite broad-spectrum antimicrobial and antifungal treatment, the patient's condition deteriorated.
- The isolation of Naegleria fowleri underscores its etiological role in the observed meningoencephalitis.
Implications:
- Increased clinical awareness and prompt diagnostic measures for PAM are crucial.
- Early identification of Naegleria fowleri is essential for timely and appropriate management strategies.
- This case emphasizes the urgent need for improved therapeutic options and public health awareness regarding PAM prevention.
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