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[Central nervous system infection by free-living amebas: report of 3 Venezuelan cases]. / Infección del sistema nervioso central por amebas de vida libre: comunicación de tres nuevos casos venezolanos.
Rodríguez, R; Méndez, O; Molina, O; Luzardo, G; Martínez, A J; Visvesvara, G S; Cardozo, J.
Afiliação
  • Rodríguez R; Facultad de Medicina, Universidad del Zulia, Venezuela.
Rev Neurol ; 26(154): 1005-8, 1998 Jun.
Article em Es | MEDLINE | ID: mdl-9658480
INTRODUCTION: Infection of the Central Nervous System by free living amebas is an unusual event, 344 cases have been reported to date. The disease becomes evident in two different clinical fashions: Primary Amebic Meningoencephalitis (PAM) caused by Naegleria fowleri and Granulomatous Amebic Encephalitis (GAE) induced by Spp. of Acanthamoeba and Balamuthia. CLINICAL CASES: The authors report three new cases from Venezuela. Case 1. 34 years old man, with a chief complaint of general malaise, headache and fever, a diagnosis of common cold was made and the patient was treated as such, he did not improve and was admitted to the hospital with deterioration of his clinical status; the patient died 10 days after the onset of his illness which was determined to be GAE produced by Balamuthia mandrillaris. Case 2. 8 years old female admitted to the hospital because of fever, headache and generalized seizures of sudden onset; neurocysticercosis was diagnosed and following improvement the patient was discharged and readmitted on two occasions because of relapse and worsening of her illness, she died 2 months after the onset of her disease that was diagnosed by autopsy as GAE due to Balamuthia mandrillaris. Case 3. 16 years old male, previously healthy, who following immersion in a water tank was admitted to the hospital because of meningeal irritation that progressed to coma and death in a 7 day lapse; autopsy revealed PAM by Naegleria fowleri. The two cases of GAE due to Balamuthia mandrillaris occurred in apparently immunocompetent individuals, contrary to the statement that these microorganisms are opportunistic. CONCLUSION: We believe that neurological infection by amphizoic amebas is being underdiagnosed, probably due to ignorance regarding this pathology or because of a very low autopsy rate in most countries.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Naegleria fowleri / Amebíase / Granuloma / Meningoencefalite Tipo de estudo: Diagnostic_studies Limite: Adolescent / Adult / Animals / Child / Female / Humans / Male País/Região como assunto: America do sul / Venezuela Idioma: Es Revista: Rev Neurol Ano de publicação: 1998 Tipo de documento: Article País de afiliação: Venezuela País de publicação: Espanha
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Naegleria fowleri / Amebíase / Granuloma / Meningoencefalite Tipo de estudo: Diagnostic_studies Limite: Adolescent / Adult / Animals / Child / Female / Humans / Male País/Região como assunto: America do sul / Venezuela Idioma: Es Revista: Rev Neurol Ano de publicação: 1998 Tipo de documento: Article País de afiliação: Venezuela País de publicação: Espanha