Cerebral amebiasis in the Acquired Immunodeficiency Syndrome
Rare cases of cerebral amebiasis have been described in AIDS patients. We report the case of a 46 year-old homosexual man with AIDS who developed an intermittent amnesia and a right palpebral ptosis. The cerebrospinal fluid contained 169 cells (75% lymphocytes). The patient died five days after hosp...
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Veröffentlicht in: | Acta neurologica Belgica 1997-12, Vol.97 (4), p.248-250 |
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description | Rare cases of cerebral amebiasis have been described in AIDS patients. We report the case of a 46 year-old homosexual man with AIDS who developed an intermittent amnesia and a right palpebral ptosis. The cerebrospinal fluid contained 169 cells (75% lymphocytes). The patient died five days after hospitalization. Necropsy revealed thrombosis of small vessels of the periventricular regions as well as necrosis and hemorrhage of the periventricular tissue, cerebellum and brainstem. The inflammatory process was scarce and composed mainly of CD-68 positive macrophages. In these regions as well as in meninges there were many trophozoites of ameba of the Acanthamoeba group. Although cerebral amebiasis is rare even in AIDS, the clinician should be attentive to this diagnosis in patients with an insidious encephalitis and cerebral cognitive abnormalities, with or without focal motor signs. |
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Although cerebral amebiasis is rare even in AIDS, the clinician should be attentive to this diagnosis in patients with an insidious encephalitis and cerebral cognitive abnormalities, with or without focal motor signs.</description><identifier>ISSN: 0300-9009</identifier><identifier>EISSN: 2240-2993</identifier><identifier>PMID: 9478263</identifier><identifier>CODEN: ANUBBR</identifier><language>eng</language><publisher>Bruxelles: Acta medica belgica</publisher><subject>Acanthamoeba - isolation & purification ; AIDS-Related Opportunistic Infections - parasitology ; AIDS-Related Opportunistic Infections - pathology ; AIDS/HIV ; Amebiasis - etiology ; Amebiasis - pathology ; Animals ; Biological and medical sciences ; Brain Diseases - etiology ; Brain Diseases - pathology ; Human viral diseases ; Humans ; Infectious diseases ; Male ; Medical sciences ; Middle Aged ; Tropical medicine ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. 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P</creatorcontrib><title>Cerebral amebiasis in the Acquired Immunodeficiency Syndrome</title><title>Acta neurologica Belgica</title><addtitle>Acta Neurol Belg</addtitle><description>Rare cases of cerebral amebiasis have been described in AIDS patients. We report the case of a 46 year-old homosexual man with AIDS who developed an intermittent amnesia and a right palpebral ptosis. The cerebrospinal fluid contained 169 cells (75% lymphocytes). The patient died five days after hospitalization. Necropsy revealed thrombosis of small vessels of the periventricular regions as well as necrosis and hemorrhage of the periventricular tissue, cerebellum and brainstem. The inflammatory process was scarce and composed mainly of CD-68 positive macrophages. In these regions as well as in meninges there were many trophozoites of ameba of the Acanthamoeba group. Although cerebral amebiasis is rare even in AIDS, the clinician should be attentive to this diagnosis in patients with an insidious encephalitis and cerebral cognitive abnormalities, with or without focal motor signs.</description><subject>Acanthamoeba - isolation & purification</subject><subject>AIDS-Related Opportunistic Infections - parasitology</subject><subject>AIDS-Related Opportunistic Infections - pathology</subject><subject>AIDS/HIV</subject><subject>Amebiasis - etiology</subject><subject>Amebiasis - pathology</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Brain Diseases - etiology</subject><subject>Brain Diseases - pathology</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Tropical medicine</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. 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P</creator><general>Acta medica belgica</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19971201</creationdate><title>Cerebral amebiasis in the Acquired Immunodeficiency Syndrome</title><author>CALORE, E. E ; CAVALIERE, M. J ; CALORE, N. M. P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p235t-e912338dbb31df884f0fbe6f44b82e60b1376cdfb55e6aab552da3585f8d6cb73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Acanthamoeba - isolation & purification</topic><topic>AIDS-Related Opportunistic Infections - parasitology</topic><topic>AIDS-Related Opportunistic Infections - pathology</topic><topic>AIDS/HIV</topic><topic>Amebiasis - etiology</topic><topic>Amebiasis - pathology</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Brain Diseases - etiology</topic><topic>Brain Diseases - pathology</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Tropical medicine</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CALORE, E. E</creatorcontrib><creatorcontrib>CAVALIERE, M. J</creatorcontrib><creatorcontrib>CALORE, N. M. P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Acta neurologica Belgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CALORE, E. E</au><au>CAVALIERE, M. J</au><au>CALORE, N. M. P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral amebiasis in the Acquired Immunodeficiency Syndrome</atitle><jtitle>Acta neurologica Belgica</jtitle><addtitle>Acta Neurol Belg</addtitle><date>1997-12-01</date><risdate>1997</risdate><volume>97</volume><issue>4</issue><spage>248</spage><epage>250</epage><pages>248-250</pages><issn>0300-9009</issn><eissn>2240-2993</eissn><coden>ANUBBR</coden><abstract>Rare cases of cerebral amebiasis have been described in AIDS patients. We report the case of a 46 year-old homosexual man with AIDS who developed an intermittent amnesia and a right palpebral ptosis. The cerebrospinal fluid contained 169 cells (75% lymphocytes). The patient died five days after hospitalization. Necropsy revealed thrombosis of small vessels of the periventricular regions as well as necrosis and hemorrhage of the periventricular tissue, cerebellum and brainstem. The inflammatory process was scarce and composed mainly of CD-68 positive macrophages. In these regions as well as in meninges there were many trophozoites of ameba of the Acanthamoeba group. Although cerebral amebiasis is rare even in AIDS, the clinician should be attentive to this diagnosis in patients with an insidious encephalitis and cerebral cognitive abnormalities, with or without focal motor signs.</abstract><cop>Bruxelles</cop><pub>Acta medica belgica</pub><pmid>9478263</pmid><tpages>3</tpages></addata></record> |
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subjects | Acanthamoeba - isolation & purification AIDS-Related Opportunistic Infections - parasitology AIDS-Related Opportunistic Infections - pathology AIDS/HIV Amebiasis - etiology Amebiasis - pathology Animals Biological and medical sciences Brain Diseases - etiology Brain Diseases - pathology Human viral diseases Humans Infectious diseases Male Medical sciences Middle Aged Tropical medicine Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids |
title | Cerebral amebiasis in the Acquired Immunodeficiency Syndrome |
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