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10.1093/omcr/omy010 http://scihub22266oqcxt.onion/10.1093/omcr/omy010 C5934662!5934662 !29744128     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29744128 &cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29744128 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Oxf+Med+Case+Reports 2018 ; 2018 (5 ): omy010 Nephropedia Template TP {{tp|p=29744128 |t=2018. Fatal case of amoebic encephalitis masquerading as herpes |pdf=|usr=}}{{29744128 }} gab.com Text Fatal case of amoebic encephalitis masquerading as herpes JO: Oxf Med Case Reports http://www.kidney.de/pget.php?&tw=1&pmid=29744128 #FOAvip Primary amoebic meningoencephalitis (PAM) is a rare, fulminating, hemorrhagic infection of the brain caused by Naegleria fowleri, a thermophilic, free-living amoeba. A 74-year male presented with sudden severe global headache and fever with features of anomic aphasia. Magnetic resonance imaging (MRI) suggested herpes encephalitis and acyclovir (IV) was started but the patient developed altered sensorium, agitation and progressive weakness of lower limbs with gradual truncal weakness. Repeat MRI showed increase in lesion size and edema with confluent blood areas. Dexamethasone showed significant improvement. Ten days after completion of acyclovir, there was recurrence of altered sensorium with seizures. Repeat MRI showed new lesions appearing. Excisional biopsy of brain confirmed N. fowleri. Amphotericin B and miltefosin was started but patient succumbed to his illness after 10 days. This is a first case of PAM in Nepal, involving elderly immune-competent male without environmental exposure to freshwater, mimicking as herpes encephalitis. Twit Text FOAVip Fatal case of amoebic encephalitis masquerading as herpes ????Oxf Med Case Reports http://www.kidney.de/pget.php?&tw=1&pmid=29744128 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29744128 #FOAvip English Wikipedia <ref>{{Cite pmid|29744128 }}</ref> Fatal case of amoebic encephalitis masquerading as herpes #MMPMID29744128 Baral R ; Vaidya B Oxf Med Case Reports 2018[May]; 2018 (5 ): omy010 PMID29744128 show ga Primary amoebic meningoencephalitis (PAM) is a rare, fulminating, hemorrhagic infection of the brain caused by Naegleria fowleri, a thermophilic, free-living amoeba. A 74-year male presented with sudden severe global headache and fever with features of anomic aphasia. Magnetic resonance imaging (MRI) suggested herpes encephalitis and acyclovir (IV) was started but the patient developed altered sensorium, agitation and progressive weakness of lower limbs with gradual truncal weakness. Repeat MRI showed increase in lesion size and edema with confluent blood areas. Dexamethasone showed significant improvement. Ten days after completion of acyclovir, there was recurrence of altered sensorium with seizures. Repeat MRI showed new lesions appearing. Excisional biopsy of brain confirmed N. fowleri. Amphotericin B and miltefosin was started but patient succumbed to his illness after 10 days. This is a first case of PAM in Nepal, involving elderly immune-competent male without environmental exposure to freshwater, mimicking as herpes encephalitis. äFatal case of amoebic encephalitis masquerading as herpes (epmc).pdf DeepDyve Pubget Overpricing