Document Detail


Acanthamoebiasis and immunosuppression. Case report.
MedLine Citation:
PMID:  7108568     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Immunosuppression and debilitating illnesses are occasionally associated with multifocal brain lesions of Acanthamoebiasis, an encephalitis distinct from the acute, water-sport related meningoencephalitis caused by Naegleria fowler. A 38-year-old man with a renal transplant two and one-half years before his final illness developed pneumonia due to Legionella micdadei. Candida albicans was isolated from sputum and cytomegalovirus was found in lung and liver biopsies. He had continuous corticosteroids, broad spectrum antibiotics, and immunosuppressive therapies. Coma developed and computerized tomography of the head revealed multifocal areas of decreased density, interpreted as cerebral abscesses. Brain biopsy demonstrated encephalitis and amoebae (Acanthamoeba castellanii). Four days after brain biopsy, he died and multifocal hemorrhagic lesions were found in the cerebral hemispheres, brainstem, and cerebellum. This case supports the hypothesis that Acanthamoebiasis is an opportunistic infection.
Authors:
A J Martinez
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neuropathology and experimental neurology     Volume:  41     ISSN:  0022-3069     ISO Abbreviation:  J. Neuropathol. Exp. Neurol.     Publication Date:  1982 Sep 
Date Detail:
Created Date:  1982-10-29     Completed Date:  1982-10-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985192R     Medline TA:  J Neuropathol Exp Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  548-57     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Amebiasis / etiology,  microbiology,  pathology*
Brain / pathology
Encephalitis / etiology,  microbiology,  pathology*
Humans
Immunosuppressive Agents / adverse effects*
Male
Chemical
Reg. No./Substance:
0/Immunosuppressive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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