Neurology Book

http://www.fpnotebook.com/

Primary Amebic Meningoencephalitis

Aka: Primary Amebic Meningoencephalitis, Primary Amebic Encephalitis, Naegleria fowleri Encephalitis
  1. See Also
    1. Waterborne Illness
  2. Epidemiology
    1. Rare, but lethal Encephalitis (4 cases per year in U.S.)
  3. Pathophysiology
    1. Typically occurs with swimming in fresh water lakes, rivers or hot springs
    2. Transmitted via the nasal cavity and secondary Sinusitis
  4. Management
    1. Amphoteracin B 1.5 mg/kg/day (IV and consider intrathecal) AND
    2. Rifampin 10 mg/kg/day AND
    3. Fluconazole 10 mg/kg/day IV or orally AND
    4. Azithromycin 500 mg IV or orally AND
    5. Miltefosine (Impavido) 50 mg orally three times daily
      1. As of 2017, investigational, and only available from CDC (consult early and urgently if suspected case)
  5. Differential Diagnosis
    1. See Encephalitis
    2. See Meningitis
    3. Other amebic meningoencephalitis (present as Chronic granulomatous Meningitis)
      1. Balamuthia mandrillaris
      2. Acanthameba
  6. Prognosis
    1. Mortality: 90%
  7. References
    1. (2017) Sanford guide, accessed 5/4/2017
    2. Perkins (2017) Am Fam Physician 95(9): 554-60 [PubMed]

Primary amebic encephalitis (C0338427)

Concepts Disease or Syndrome (T047)
SnomedCT 230186009
English Primary amebic encephalitis, Primary amoebic encephalitis, Primary amebic encephalitis (disorder)
Spanish encefalitis amébica primaria (trastorno), encefalitis amébica primaria
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Primary amebic encephalitis due to Naegleria fowleri (C1997622)

Concepts Disease or Syndrome (T047)
SnomedCT 428175000
English Primary amebic encephalitis due to Naegleria fowleri, Primary amoebic encephalitis due to Naegleria fowleri, Primary amebic encephalitis due to Naegleria fowleri (disorder)
Spanish encefalitis amebiana primaria por Naegleria fowleri (trastorno), encefalitis amebiana primaria por Naegleria fowleri
Sources
Derived from the NIH UMLS (Unified Medical Language System)


You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree