30 June 2020>: Articles
A Surviving Case of Acanthamoeba Granulomatous Amebic Encephalitis in a Hematopoietic Stem Cell Transplant Recipient
Challenging differential diagnosis, Unusual or unexpected effect of treatment
Niamh A. Keane D , Louise Marie Lane C , Emma Canniff B , Daniel Hare D , Simon Doran B , Eugene Wallace E , Siobhan Hutchinson B , Marie-Louise Healy E , Brian Hennessy B , Jim Meaney D , Peter Chiodini D , Brian O’Connell D , Alan Beausang C , Elisabeth Vandenberghe E*DOI: 10.12659/AJCR.923219
Am J Case Rep 2020; 21:e923219
Table 1. Cerebrospinal fluid (CSF) analysis.
Parameter | Result | |
---|---|---|
Peripheral blood | White cell count (cells/mm) | 2.3 |
Neutrophils (cells/mm/%) | 2/87% | |
Lymphocytes (cells/mm/%) | ||
Glucose (mg/dL) | 162 | |
Protein (g/dL) | 5 | |
Cerebrospinal fluid | White cell count (cells/mm) | 42 |
Neutrophils (cells/mm/%) | 1/3% | |
Lymphocytes (cells/mm/%) | 37/88% | |
CD8 (cells/mm/%) | 32/88% | |
CD4 (cells/mm/%) | 2/6% | |
NK (cells/mm/%) | 3/7% | |
Glucose (mg/dL) | 72 | |
Protein (mg/dL) | 149 | |
Microbiology CSF results | Bacterial culture | Negative |
TB GeneXpert | Negative | |
Viral PCR | Negative | |
PCR | Negative | |
Microsporidia PCR | Negative | |
PCR for Acanthamoeba, Balamuthia, Naegleria | Negative | |
* PCR of CSF for HSV1, HSV2, EBV, CMV, VZV, JCV, HHV6 and enterovirus were all negative. |