Amebic osteomyelitis in a child with acquired immunodeficiency syndrome: a case report

D M Selby1, R S Chandra, T A Rakusan

  • 1Department of Pathology, Children's National Medical Center, Washington, DC 20010-2970, USA. dselby@cnmc.org

Insights

Disseminated Acanthamoeba infection can affect immunocompromised individuals. This case highlights amebic osteomyelitis in a child with human immunodeficiency virus and a history of skin Acanthamoeba infection.

Area of Science:

  • Medical Microbiology
  • Immunology
  • Pediatrics

Background:

  • Disseminated Acanthamoeba infections typically occur in immunocompromised or debilitated patients.
  • Commonly affected sites include skin, sinuses, and the brain.
  • Previous reports of Acanthamoeba infection in human immunodeficiency virus (HIV)-infected individuals are rare, primarily involving adults.

Observation:

  • A 6-year-old child with vertically acquired HIV presented with a 6-month history of cutaneous Acanthamoeba infection.
  • The child subsequently developed amebic osteomyelitis.

Findings:

  • This case represents a rare instance of Acanthamoeba osteomyelitis in a pediatric patient with HIV.
  • The infection disseminated from the skin to the bone.

Implications:

  • This case underscores the potential for disseminated Acanthamoeba infections in pediatric HIV patients.
  • Highlights the importance of considering Acanthamoeba in the differential diagnosis of bone infections in immunocompromised children.
  • Suggests a potential route of dissemination from cutaneous to deep-seated infections in this population.

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