Primary amoebic meningoencephalitis (PAM): management

Evidence-based neurology checklist on primary amoebic meningoencephalitis (pam): management: Cerebrospinal fluid (CSF) analysis Raised opening pressure Neutrophilic pleocytosis Low glucose High protein Motile N. fowleri Giemsa or Wright stains for trophozoites Positive enflagellation test Magnetic…

Cerebrospinal fluid (CSF) analysis

  • Raised opening pressure
  • Neutrophilic pleocytosis
  • Low glucose
  • High protein
  • Motile N. fowleri
  • Giemsa or Wright stains for trophozoites
  • Positive enflagellation test

Magnetic resonance imaging (MRI) brain: features

Primary treatment

Possible adjunctive treatments

Prophylaxis

References

  1. Siddiqui R, Khan NA. Primary amoebic meningoencephalitis caused by Naegleria fowleri: an old enemy presenting new challenges. PLoS Negl Trop Dis 2014; 8:e3017. 
  2. Grace E, Asbill S, Virga K. Naegleria fowleri: pathogenesis, diagnosis, and treatment options. Antimicrob Agents Chemother 2015; 59:6677-6681. 
  3. Capewell LG, Harris AM, Yoder JS, et al. Diagnosis, clinical course, and treatment of primary amoebic meningoencephalitis in the United States, 1937-2013. J Pediatric Infect Dis Soc 2015; 4:e68-e75.

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