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Fatal subacute necrotising brainstem encephalitis in a young man due to a rare parasitic (Balamuthia) infection
  1. K Prasad1,
  2. R Bhatia2,
  3. M V P Srivastava3,
  4. V Pardasani4,5,
  5. A Garg6,
  6. A Rishi7
  1. 1
    Professor
  2. 2
    Assistant Professor
  3. 3
    Professor
  4. 4
    Senior Resident
  5. 5
    Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
  6. 6
    Assistant Professor, Department of Neuroradiology, All India Institute of Medical Sciences, New Delhi, India
  7. 7
    Senior Resident, Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
  1. 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

Abstract

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.

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