Amebic encephalitis caused by Balamuthia mandrillaris: report of four cases
Wereport four fatal cases of amebic encephalitis in children caused by the free-living pathogenic ameba Balamuthia mandrillaris.The clinical course ranged from subacute to fulminant. Provisional diagnoses were made either shortly before death or postmortem by an indirect immunofluorescent antibody t...
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| Veröffentlicht in: | The Pediatric infectious disease journal 2003-05, Vol.22 (5), p.447-452 |
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| container_title | The Pediatric infectious disease journal |
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| creator | BAKARDJIEV, ANNA AZIMI, PARVIN H ASHOURI, NEGAR ASCHER, DAVID P JANNER, DONALD SCHUSTER, FREDERICK L VISVESVARA, GOVINDA S GLASER, CAROL |
| description | Wereport four fatal cases of amebic encephalitis in children caused by the free-living pathogenic ameba Balamuthia mandrillaris.The clinical course ranged from subacute to fulminant. Provisional diagnoses were made either shortly before death or postmortem by an indirect immunofluorescent antibody test. Although the four cases occurred in different geographic locations, their common features may have diagnostic value for recognizing future cases of amebic encephalitis. The cases occurred in children 2 to 7.5 years old who were ostensibly immunocompetent and of Hispanic ethnicity. Three of the four children developed hydrocephalus during their illness. Increased awareness and timely diagnosis of this disease entity might lead to earlier intervention with improved outcome. |
| doi_str_mv | 10.1097/01.inf.0000066540.18671.f8 |
| format | Article |
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Provisional diagnoses were made either shortly before death or postmortem by an indirect immunofluorescent antibody test. Although the four cases occurred in different geographic locations, their common features may have diagnostic value for recognizing future cases of amebic encephalitis. The cases occurred in children 2 to 7.5 years old who were ostensibly immunocompetent and of Hispanic ethnicity. Three of the four children developed hydrocephalus during their illness. 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Provisional diagnoses were made either shortly before death or postmortem by an indirect immunofluorescent antibody test. Although the four cases occurred in different geographic locations, their common features may have diagnostic value for recognizing future cases of amebic encephalitis. The cases occurred in children 2 to 7.5 years old who were ostensibly immunocompetent and of Hispanic ethnicity. Three of the four children developed hydrocephalus during their illness. Increased awareness and timely diagnosis of this disease entity might lead to earlier intervention with improved outcome.</description><subject>Amebiasis - complications</subject><subject>Amebiasis - diagnosis</subject><subject>Amibiasis</subject><subject>Amoeba - classification</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Combined Modality Therapy</subject><subject>Disease Progression</subject><subject>Encephalitis - diagnosis</subject><subject>Encephalitis - etiology</subject><subject>Encephalitis - therapy</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Hispanic Americans</subject><subject>Human protozoal diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Intensive Care Units, Pediatric</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Parasitic diseases</subject><subject>Protozoal diseases</subject><subject>Risk Assessment</subject><subject>Sampling Studies</subject><subject>Severity of Illness Index</subject><issn>0891-3668</issn><issn>1532-0987</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkdFqHCEUhqW0JNs0r1CGQns3Wx2dUXOXhjYpDeQmvZajHllbZ2arM4S8fU12YQURD9_vOXwS8onRLaNafqVsG6ewpS9rGHpRy2qQbBvUG7JhPe9aqpV8SzZUadbyYVDn5H0pfyrOBaNn5Jx1Undc6Q35dT2ija7ByeF-BykusTQO1oK-sc_NN0gwrssuQjPC5HNMCXIsV03G_ZyXZg5NmNdcEwXLB_IuQCp4eTwvyO8f3x9v7tr7h9ufN9f3reO05632glJnUXjZD0ILYXuwXjOrraAI3trAJFIp0UvQWnrueyYoA6l4F7jlF-TL4d19nv-tWBYzxuKwjjbhvBYjOZeiBit4dQBdnkvJGMw-xxHys2HUvKg0lJmq0pxUmleVJqga_njsstoR_Sl6dFeBz0cAioMUMkwulhMnKqcGUTlx4J7mtGAuf9P6hNnsENKye209iF60Xf0d2tdbWzfj_D8iC41h</recordid><startdate>200305</startdate><enddate>200305</enddate><creator>BAKARDJIEV, ANNA</creator><creator>AZIMI, PARVIN H</creator><creator>ASHOURI, NEGAR</creator><creator>ASCHER, DAVID P</creator><creator>JANNER, DONALD</creator><creator>SCHUSTER, FREDERICK L</creator><creator>VISVESVARA, GOVINDA S</creator><creator>GLASER, CAROL</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200305</creationdate><title>Amebic encephalitis caused by Balamuthia mandrillaris: report of four cases</title><author>BAKARDJIEV, ANNA ; 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| subjects | Amebiasis - complications Amebiasis - diagnosis Amibiasis Amoeba - classification Animals Biological and medical sciences Child Child, Preschool Combined Modality Therapy Disease Progression Encephalitis - diagnosis Encephalitis - etiology Encephalitis - therapy Fatal Outcome Female Hispanic Americans Human protozoal diseases Humans Infectious diseases Intensive Care Units, Pediatric Male Medical sciences Parasitic diseases Protozoal diseases Risk Assessment Sampling Studies Severity of Illness Index |
| title | Amebic encephalitis caused by Balamuthia mandrillaris: report of four cases |
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