A DIFFICULT CASE
Fatal subacute necrotising brainstem encephalitis in a young man due to a rare parasitic (Balamuthia) infection
1 Professor
2 Assistant Professor
3 Professor
4 Senior Resident
5 Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
6 Assistant Professor, Department of Neuroradiology, All India Institute of Medical Sciences, New Delhi, India
7 Senior Resident, Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
Correspondence to:
Professor K Prasad, Department of Neurology, Room No 704, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi-110029, India; drkameshwarprasad{at}yahoo.co.in
We describe a case of brainstem inflammation in a young man which at first defied diagnosis. However, after his death, and notwithstanding our inability to find a cause at autopsy, we did not give up. After sending paraffin blocks to the Centers for Disease Control in Atlanta, Georgia, USA, they suggested the diagnosis of Balamuthia (amoebic) infection. ...[End of Extract]
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