Monday, October 22, 2012

Case of the Week 229

A child presented with rapid onset of headache, confusion, and mental status changes after spending the weekend swimming in a warm fresh water lake.  A lumbar puncture was performed and the following structures were seen in a Giemsa-stained cytospin preparation of CSF (CLICK ON IMAGES TO ENLARGE):

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Unfortunately, the child quickly became obtunded and was declared brain dead within 24 hours of presentation.  An autopsy was performed, which showed the following:

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Diagnosis for this tragic case?

5 comments:

Anonymous said...

Naegleria fowleri

Kathy said...

I agree with Naegleria fowleri.

Anonymous said...

Yes, Naegleria fowleri.

William Sears said...

naegleria fowleri

Anonymous said...

The case history and the microscopic morphology agree for Naegleria fowleri. We had reports of such cases in in Florida, particularly in the summer.

Florida fan