Related Experiment Video
Updated: Aug 28, 2026

Discovery of New Intracellular Pathogens by Amoebal Coculture and Amoebal Enrichment Approaches
Published on: October 28, 2013
[Human pathology caused by free-living amoebae]
1Laboratori di Ricerca di Area Infettivologica, Università degli Studi, IRCCS Policlinico San Matteo, Pavia.
Abstract:
Naegleria fowleri, Acanthamoeba spp. and Balamuthia mandrillaris are free-living amoebae that occasionally may induce pathology in human beings. CNS disease due to N. fowleri, called "primary" amoebic meningoencephalitis, is acquired after exposure to polluted waters in swimming pools, rivers, and lakes. The clinical course is acute, often fulminant and characterized pathologically by necrotizing hemorrhagic meningoencephalitis, involving mainly the base of the brain, brainstem and cerebellum. In contrast, some Acanthamoeba spp. and B. mandrillaris cause opportunistic, chronic "granulomatous" encephalitis in subjects pathologically or iatrogenically immunocompromised. There are, most likely, foci of protozoa in lung and skin reaching the CNS by hematogenous route. Only Acanthamoeba spp. can also produce severe, subacute keratitis, mainly today in contact lens wearers.
Insights
Naegleria fowleri, Acanthamoeba, and Balamuthia are free-living amoebae causing human diseases. These pathogens can lead to severe brain infections like primary amoebic meningoencephalitis or granulomatous encephalitis, and Acanthamoeba can cause eye infections.
Area of Science:
- Neuroparasitology
- Infectious Diseases
Context:
- Free-living amoebae (FLA) such as Naegleria fowleri, Acanthamoeba spp., and Balamuthia mandrillaris are increasingly recognized as significant human pathogens.
- FLA infections of the central nervous system (CNS) are rare but often fatal, posing a diagnostic and therapeutic challenge.
Purpose:
- To differentiate the clinical presentations and pathological mechanisms of CNS diseases caused by N. fowleri, Acanthamoeba spp., and B. mandrillaris.
- To highlight the distinct epidemiological and clinical features of infections caused by these amoebae.
Summary:
- Naegleria fowleri causes acute primary amoebic meningoencephalitis (PAM), a fulminant necrotizing hemorrhagic meningoencephalitis, typically acquired through freshwater exposure.
- Acanthamoeba spp. and Balamuthia mandrillaris cause chronic granulomatous encephalitis in immunocompromised individuals, often via hematogenous spread from lung or skin foci.
- Acanthamoeba spp. are also a major cause of severe keratitis, particularly in contact lens wearers.
Impact:
- This review clarifies the distinct pathologies and transmission routes of amoebic CNS infections, aiding in diagnosis and management.
- Understanding these differences is crucial for public health interventions and clinical decision-making in suspected cases of amoebic encephalitis or keratitis.
Related Concept Videos
Diversity of Protists II
Diversity of Protists IV
Leishmaniasis
Toxoplasmosis
Giardiasis
Amebiasis

