PubMed · 7072400
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J Haas. 1982. [Working abroad. Basic principle 35].. https://pubmed.ncbi.nlm.nih.gov/7072400/
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An 11-month-old infant presented with cranial nerve palsy and ataxia. MR revealed a large, enhancing pontine mass and small, nonenhancing parafalcial lesions; no organisms were seen in cerebrospinal fluid. After empiric treatment for brain stem glioma, the patient died. Autopsy revealed meningoencephalitis caused by leptomyxid amebae.
The imaging findings in a case of panamebic meningoencephalitis and in a case of granulomatous amebic encephalitis, two rare infections of the central nervous system caused by amebae, are presented and the world literature is reviewed. The brain CT findings in panamebic meningoencephalitis are nonspecific; our case showed diffuse edema. In the case of granulomatous amebic encephalitis, there was evidence of large arterial occlusions and MR demonstration of spinal cord infarctions.
Amoebiasis is an important cause of morbidity and mortality in developing countries. Virulence of Entamoeba histolytica depends on the trophozoite's being able to bind to colonic epithelium; binding is mediated by the 170 kD subunit of a 260 kD lectin. We found, by microcytofluorometry and western blotting studies, that this 170 kD subunit protein shares an epitope with human beta 2 integrins--a subfamily of cell-surface glycoproteins expressed exclusively on leucocytes and involved in many adhesive and signalling interactions. The immunological similarity between these proteins may explain the trophozoite's ability to bind to and invade colonic epithelium.