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Journal of Clinical Microbiology, January 2002, p. 309-310, Vol. 40, No. 1
0095-1137/02/$04.00+0     DOI: 10.1128/JCM.40.1.309-310.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.

Primary Meningoencephalitis by Naegleria fowleri: First Reported Case from Mangalore, South India

Shalini Shenoy,1* Godwin Wilson,1 H. V. Prashanth,1 K. Vidyalakshmi,1 B. Dhanashree,1 and R. Bharath1

Department of Microbiology, Kasturba Medical College, Mangalore, Karnataka, 575001, India1

Received 11 June 2001/ Returned for modification 31 July 2001/ Accepted 2 October 2001

A fatal case of primary amebic meningoencephalitis (PAM) in a 5-month-old infant is described. The disease may have been contracted during bathing. The source of water was from an artificial well. The clinical presentation, the isolation of the ameba from the cerebrospinal fluid, the poor response to amphotericin B, and the ultimate fatal outcome are all consistent with the diagnosis of PAM. On the basis of its ability to grow at temperatures above 30°C, the morphology of the trophozoite, and the presence of flagellate forms, the ameba was identified as Naegleria fowleri. Pathogenic N. fowleri amebae were recovered from samples of water from the well. To our knowledge this case represents the second case of PAM in an infant in the absence of the history of swimming.

* Corresponding author. Mailing address: Department of Microbiology, Kasturba Medical College, Light House Hill Rd., Mangalore, Karnataka, 575001, India. Phone: 91-0824-423805. Fax: 91-0824-421140. E-mail: tvshenoy{at}hotmail.com.

Journal of Clinical Microbiology, January 2002, p. 309-310, Vol. 40, No. 1
0095-1137/02/$04.00+0     DOI: 10.1128/JCM.40.1.309-310.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.



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  • Magana, M. L., Fernandez-Diez, J., Magana, M. (2008). Cutaneous Amebiasis in Pediatrics. Arch Dermatol 144: 1369-1372 [Abstract] [Full Text]  
  • Schild, M., Gianinazzi, C., Gottstein, B., Muller, N. (2007). PCR-Based Diagnosis of Naegleria sp. Infection in Formalin-Fixed and Paraffin-Embedded Brain Sections. J. Clin. Microbiol. 45: 564-567 [Abstract] [Full Text]  
  • Soltow, S. M., Brenner, G. M. (2007). Synergistic Activities of Azithromycin and Amphotericin B against Naegleria fowleri In Vitro and in a Mouse Model of Primary Amebic Meningoencephalitis. Antimicrob. Agents Chemother. 51: 23-27 [Abstract] [Full Text]  


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