Document Detail


Primary amebic meningoencephalitis: a review of the clinical literature.
MedLine Citation:
PMID:  11990164     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Primary amebic meningoencephalitis (PAM) is a rapidly progressive and potentially fatal infection frequently contracted by swimming in bodies of warm fresh water. The etiological agent in most reported cases of PAM is the ameboflagellate Naegleria fowleri. Infection with this organism closely mimics and is often mistaken for a bacterial or a viral pyogenic meningitis. Recovery is rare and depends on rapid diagnosis and treatment. Physicians treating individuals who present with an acute pyogenic meningitis should consider the diagnosis of PAM, particularly if the patient has a recent history of swimming in warm fresh water. We review the recent literature for cases of PAM and the discuss ecology of N. fowleri and the clinical presentation, diagnosis, and treatment of PAM.
Authors:
W Hannisch; L F Hallagan
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Wilderness & environmental medicine     Volume:  8     ISSN:  1080-6032     ISO Abbreviation:  Wilderness Environ Med     Publication Date:  1997 Nov 
Date Detail:
Created Date:  2002-05-06     Completed Date:  2002-06-04     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9505185     Medline TA:  Wilderness Environ Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  211-3     Citation Subset:  IM    
Affiliation:
Yellowstone Park Medical Services, Yellowstone National Park, WY 82190, USA.
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MeSH Terms
Descriptor/Qualifier:
Amebiasis / diagnosis*,  drug therapy,  pathology
Amphotericin B / therapeutic use
Animals
Central Nervous System Protozoal Infections / diagnosis*,  drug therapy,  pathology
Fresh Water
Humans
Naegleria fowleri
Rifampin / therapeutic use
Chemical
Reg. No./Substance:
13292-46-1/Rifampin; 1397-89-3/Amphotericin B

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


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