复发性肉芽肿性阿米巴脑炎。

IF 2.3 Q2 CLINICAL NEUROLOGY

PRACTICAL NEUROLOGY Pub Date : 2025-07-29 DOI:10.1136/pn-2025-004674

Sampurna Chowdhury, Yamini Priyanka, Ayush Agarwal, Divyani Garg, Ajay Garg, Hemlata Jangir, Achal K Srivastava

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引用次数: 0

摘要

自由生活的阿米巴虫，如福氏奈格里虫、棘阿米巴虫或曼陀罗虫是引起中枢神经系统感染的罕见原因。福氏奈格杆菌引起原发性阿米巴脑膜脑炎，而后两者引起肉芽肿性阿米巴脑炎，这通常发生在免疫功能低下的人群中，尽管治疗，但几乎普遍致命。由于非特异性神经症状，早期诊断具有挑战性，并且没有具体的治疗指南。我们报告一例成功治疗复发棘阿米巴脑炎在免疫正常的个体。

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Relapsing granulomatous amoebic encephalitis.

Free-living amoebae like Naegleria fowleri, Acanthamoeba or Balamuthia mandrillaris are rare causes of central nervous system infections. Naegleria fowleri causes primary amoebic meningoencephalitis, whereas the latter two cause granulomatous amoebic encephalitis, which usually occurs in immunocompromised people and is almost universal fatal despite treatment. Early diagnosis is challenging due to the non-specific neurological symptoms, and there are no specific treatment guidelines. We report a case of successfully treated relapsing Acanthamoeba encephalitis in an immunocompetent individual.

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来源期刊

PRACTICAL NEUROLOGY Medicine-Neurology (clinical)

CiteScore

3.70

自引率

3.60%

发文量

113

期刊介绍： The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up to date, and safe, in managing them. In other words this is a journal for jobbing neurologists - which most of us are for at least part of our time - who plough through the tension headaches and funny turns week in and week out. Primary research literature potentially relevant to routine clinical practice is far too much for any neurologist to read, let alone understand, critically appraise and assimilate. Therefore, if research is to influence clinical practice appropriately and quickly it has to be digested and provided to neurologists in an informative and convenient way.