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Am. J. Trop. Med. Hyg., 81(2), 2009, pp. 277-279
Copyright © 2009 by The American Society of Tropical Medicine and Hygiene

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CASE REPORT


First Case of Granulomatous Amebic Encephalitis Caused by Acanthamoeba castellanii in Taiwan

Wang-Huei Sheng, Chien-Ching Hung, Huai-Hsuan Huang, Shih-Yu Liang, Yu-Jen Cheng, Dar-Der Ji*, AND Shan-Chwen Chang
Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan; National Yang-Ming University, Taipei, Taiwan; Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan; Research and Diagnostic Center, Centers for Disease Control and Department of Microbiology and Immunology, National Defense Medical Center, Taipei, Taiwan

 

ABSTRACT

We report the first case of granulomatous amebic encephalitis caused by Acanthamoeba in a previously healthy farmer in Taiwan who fell into a ditch. The DNA amplicons of amebas identified by polymerase chain reaction in the cerebrospinal fluid specimen and the ditch water specimens were identical and shared strong homology with A. castellanii . He survived after treatment with amphotericin B, rifampin, and corticosteroids.

Received May 13, 2009. Accepted for publication May 23, 2009.

* Address correspondence to Dar-Der Ji, Research and Diagnostic Center, Centers for Disease Control, Department of Health, 161 Kun-Yang Street, Taipei 11579, Taiwan. E-mail: jidarder{at}cdc.gov.tw

Authors’ addresses: Wang-Huei Sheng, Chien-Ching Hung, Huai-Hsuan Huang, and Shan-Chwen Chang, Department of Internal Medicine, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei, Taiwan, E-mails: whsheng{at}ntu.edu.tw , hcc0401{at}ntu.edu.tw , hhh{at}ntu.edu.tw , and changsc{at}ntu.edu.tw . Shih-Yu Liang, National Yang-Ming University, 155, Sec. 2, Linong Street, Taipei, Taiwan, E-mail: discovery566{at}gmail.com . Yu-Jen Cheng, Changhua Christian Hospital, 135, Nanhsiao Street, Changhua, Taiwan, E-mail: chenyujen{at}cgh.com.tw . Dar-Der Ji, Research and Diagnostic Center, Centers for Disease Control, Department of Health, 161 Kun-Yang St., Taipei, Taiwan, E-mail: jidarder{at}cdc.gov.tw .






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Copyright © 2009 by the American Society of Tropical Medicine and Hygiene.