| CASE REPORT |
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| Year : 2019 | Volume
: 37
| Issue : 1 | Page : 120-122 |
Primary amoebic meningoencephalitis in an infant
Neetu Mittal1, Lokesh Mahajan2, Zahid Hussain2, Parakriti Gupta3, Sumeeta Khurana3
1 Department of Microbiology, QRG Central Hospital and Research Centre, Faridabad, Haryana, India
2 Department of Pediatrics, QRG Health City, Faridabad, Haryana, India
3 Department of Medical Parasitology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Correspondence Address:
Dr. Sumeeta Khurana
Department of Medical Parasitology, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijmm.IJMM_18_371
Primary amoebic meningoencephalitis is rare but fatal disease encountered in immunocompetent individuals. Here, we present a case of a previously healthy 8-month-old female child, who presented with features of meningoencephalitis of 2 days' duration. Rapidly moving trophozoites of amoeba were observed in cerebrospinal fluid, which were confirmed to be Naegleria fowleri on polymerase chain reaction. Broad-spectrum antimicrobial therapy with ceftriaxone, vancomycin, amphotericin B and acyclovir was initiated. However, the patient deteriorated and left the hospital against medical advice. The isolation of N. fowleri in this case demands for increased awareness for prompt diagnosis and management in view of its high mortality.
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