A Case-Based Review of Free-living Amebic Human Infections and Diagnosis

Clare McCormick-Baw M.D., Ph.D. , Morgan Pence Ph.D., D(ABMM) , Laura Filkins Ph.D., D(ABMM)
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Abstract

Naegleria fowleri, Balamuthia mandrillaris, and Acanthamoeba species are free-living amebae that are ubiquitously found in soil and water and can opportunistically cause invasive, deadly infections in humans. In this review, we present four patient cases due to free-living amebae and review the epidemiology and clinical significance of the diseases they cause. Specifically, primary amebic encephalitis due to N. fowleri, granulomatous amebic encephalitis due to B. mandrillaris and Acanthamoeba spp., keratitis due to Acanthamoeba spp., and non-central nervous system systemic infections (due to B. mandrillaris and Acanthamoeba spp.) are reviewed, and the clinical utility of microbiologic and histopathologic methods for diagnosing infections due to free-living amebae are compared.

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自由生活的阿米巴感染与诊断病例综述
福氏奈格里亚原虫、曼氏巴拉姆thia mandrillaris和棘阿米巴是自由生活的变形虫,在土壤和水中无处不在,可以偶然地引起侵入性的、致命的人类感染。在本文中,我们报告了4例由自由生活的变形虫引起的病例,并对其引起的疾病的流行病学和临床意义进行了综述。具体来说,本文综述了福氏芽胞杆菌引起的原发性阿米巴脑炎、由曼氏双歧杆菌和棘阿米巴引起的肉芽肿性阿米巴脑炎、由棘阿米巴引起的角膜炎和非中枢神经系统感染(由曼氏双歧杆菌和棘阿米巴引起),并比较了微生物学和组织病理学方法在诊断由自由生活的阿米巴引起的感染中的临床应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinical Microbiology Newsletter
Clinical Microbiology Newsletter Medicine-Infectious Diseases
CiteScore
2.20
自引率
0.00%
发文量
35
审稿时长
53 days
期刊介绍: Highly respected for its ability to keep pace with advances in this fast moving field, Clinical Microbiology Newsletter has quickly become a “benchmark” for anyone in the lab. Twice a month the newsletter reports on changes that affect your work, ranging from articles on new diagnostic techniques, to surveys of how readers handle blood cultures, to editorials questioning common procedures and suggesting new ones.
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