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Journal of Spine & NeurosurgeryISSN: 2325-9701

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Case Report, J Spine Neurosurg Vol: 3 Issue: 5

Primary Meningoencephalitis in a New Born Due to Naegleria Spp. - Extremely Rare Case Presentation with Review of Literature

Meenakshi N Kumar1, Shilpi Gupta2, Sachin Bansal3* and Sumangla Bhan4
1Consultant Microbiologist, Narinder Mohan Hospital, Mohan Nagar, Ghaziabad, India
2Senior Resident, Department of Microbiology, Lok Nayak Hospital, New Delhi, India
3Consultant Pathologist, Narinder Mohan Hospital, Mohan Nagar, Ghaziabad, India
4Consultant Pediatrician, Narinder Mohan Hospital, Mohan Nagar, Ghaziabad, India
Corresponding author : Sachin Bansal
Department of Pathology, Narinder Mohan Hospital, Mohan Nagar, Ghaziabad, Uttar Pradesh, India
Tel: 09654398143
E-mail: [email protected]
Received: April 15, 2014 Accepted: June 27, 2014 Published: July 01, 2014
Citation: Meenakshi NK, Gupta S, Bansal S, Bhan S (2014) Primary Meningoencephalitis in a New Born Due to Naegleria Spp. - Extremely Rare Case Presentation with Review of Literature. J Spine Neurosurg 3:5 doi:10.4172/2325-9701.1000158

Abstract

Primary Meningoencephalitis in a New Born Due to Naegleria Spp. - Extremely Rare Case Presentation with Review of Literature

Primary amoebic meningoencephalitis (PAM) caused by free living amoebae Naegleria fowleri is a rare condition. We report a case of primary meningoencephalitis in a 5 day old, male child who presented with respiratory distress and multiple seizures. Patient presented with acute on chronic meningitis and CSF examination revealed xanthochromia with increased CSF protein. Wet mount of CSF showed motile amoebae suggestive of naegleria species. Baby was put on ventilatory support, anticonvulsants were started along with liposomal Amphotericin B to which the child responded. We also reviewed last 10 Indian cases of primary amoebic meningoencephalitis (PAM) in which only 4 patients were cured.

Keywords: Primary Amoebic Meningoencephalitis; Naegleria; Seizures

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