Primary Amoebic Meningoencephalitis in an Iranian Infant
Introduction. Naegleria fowleri, a free living amoeba, can cause devastating and deadly diseases in humans. This is the first report of primary amoebic meningoencephalitis from Iran. Case report. A five-month-old male infant presented with the history of fever and eye gaze for three days, after beg...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/782854 |
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| author | Zahra Movahedi Mohammad Reza Shokrollahi Mohammad Aghaali Hosein Heydari |
| author_facet | Zahra Movahedi Mohammad Reza Shokrollahi Mohammad Aghaali Hosein Heydari |
| author_sort | Zahra Movahedi |
| collection | DOAJ |
| description | Introduction. Naegleria fowleri, a free living amoeba, can cause devastating and deadly diseases in humans. This is the first report of primary amoebic meningoencephalitis from Iran.
Case report. A five-month-old male infant presented with the history of fever and eye gaze for three days, after beginning of bacterial meningitis, a plain and contrast CT revealed communicated hydrocephalus. In the repeat of CSF analysis on microscopic examination of wet preparation of CSF, Naegleria Fowleri was seen. Then, Amphotericin B and Rifampin were started. On followup, two months later, the patient was totally asymptomatic. Conclusion. Though occurrence of PAM is rare, this unusual disease has grave prognosis, so infection with free living amoebas must be considered in differential diagnosis of pediatric patients of purulent meningitis without evidence of bacteria on Gram’s stain and imaging findings, nonspecific brain edema on CT or hydrocephalus even without history of contact. |
| format | Article |
| id | doaj-art-4bd23927aad14c81bb3d0d025849ab11 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-4bd23927aad14c81bb3d0d025849ab112025-02-03T06:42:07ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/782854782854Primary Amoebic Meningoencephalitis in an Iranian InfantZahra Movahedi0Mohammad Reza Shokrollahi1Mohammad Aghaali2Hosein Heydari3Qom University of Medical Science, Qom, IranQom University of Medical Science, Qom, IranQom University of Medical Science, Qom, IranQom University of Medical Science, Qom, IranIntroduction. Naegleria fowleri, a free living amoeba, can cause devastating and deadly diseases in humans. This is the first report of primary amoebic meningoencephalitis from Iran. Case report. A five-month-old male infant presented with the history of fever and eye gaze for three days, after beginning of bacterial meningitis, a plain and contrast CT revealed communicated hydrocephalus. In the repeat of CSF analysis on microscopic examination of wet preparation of CSF, Naegleria Fowleri was seen. Then, Amphotericin B and Rifampin were started. On followup, two months later, the patient was totally asymptomatic. Conclusion. Though occurrence of PAM is rare, this unusual disease has grave prognosis, so infection with free living amoebas must be considered in differential diagnosis of pediatric patients of purulent meningitis without evidence of bacteria on Gram’s stain and imaging findings, nonspecific brain edema on CT or hydrocephalus even without history of contact.http://dx.doi.org/10.1155/2012/782854 |
| spellingShingle | Zahra Movahedi Mohammad Reza Shokrollahi Mohammad Aghaali Hosein Heydari Primary Amoebic Meningoencephalitis in an Iranian Infant Case Reports in Medicine |
| title | Primary Amoebic Meningoencephalitis in an Iranian Infant |
| title_full | Primary Amoebic Meningoencephalitis in an Iranian Infant |
| title_fullStr | Primary Amoebic Meningoencephalitis in an Iranian Infant |
| title_full_unstemmed | Primary Amoebic Meningoencephalitis in an Iranian Infant |
| title_short | Primary Amoebic Meningoencephalitis in an Iranian Infant |
| title_sort | primary amoebic meningoencephalitis in an iranian infant |
| url | http://dx.doi.org/10.1155/2012/782854 |
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