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Post-neurosurgical meningitis by Naegleria fowleri and Staphylococcus aureus in Ecuador: A case report

Eduardo Montalvo1, Camila Lara-Cazorla2, V Neira3

  • 1Clinical Laboratory Service, Hospital General Docente de Calderón, Ministry of Public Health, Quito, Ecuador.

Parasitology International
|October 8, 2025
PubMed

Insights

This report details the first case in Ecuador of primary amoebic meningoencephalitis caused by Naegleria fowleri, co-infecting with MRSA in a patient with a ventriculoperitoneal shunt. Genome sequencing aided diagnosis and treatment of this rare coinfection.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Medical Microbiology

Background:

  • Primary amoebic meningoencephalitis (PAM) is a rare, fatal infection caused by Naegleria fowleri.
  • Coinfections with bacteria, particularly in patients with central nervous system devices, present diagnostic challenges.
  • Methicillin-resistant Staphylococcus aureus (MRSA) is a common nosocomial pathogen.
Keywords:
CoinfectionNaegleria fowleriPrimary amoebic meningoencephalitisStaphylococcus aureus

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