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Amoebic meningoencephalitis

Case contributed by Giuseppe Rojas
Diagnosis almost certain

Presentation

Decreased level of consciousness, fever, severe headache, neck stiffness and skin lesion in the lumbar region

Patient Data

Age: 15
Gender: Male
ct

Multiple hypodense images in both cerebral hemispheres, cerebellum and brainstem without enhancement with contrast application of evidence. Images compatible with multiple infarcts.

Case Discussion

Pathological-anatomy study shows necrosis with abundant free-living amoebae.

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