Granulomatous Amoebic Encephalitis Caused by Balamuthia Mandrillaris : Case Report
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概要
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A 51-year-old immunocompetent Japanese woman presented with a rare case of granulomatous amoebic encephalitis (GAE) caused by Balamuthia mandrillaris. She was brought to our hospital with epilepsy. Magnetic resonance imaging of the brain revealed a homogeneously enhanced solitary mass in the left frontal lobe. Histological diagnosis was made by a biopsy, which suggested lymphomatoid granulomatosis. After that, her neurological condition got worse. New masses were found and had spread across the whole brain. She died 2 months later of cerebral hernia. Autopsy revealed that the patient had GAE caused by Balamuthia mandrillaris. GAE is usually fatal, and is difficult to diagnose except at autopsy. Therefore, awareness of this disease is important, and earlier diagnosis and the development of a better therapeutic strategy will improve clinical outcome.
- 2011-09-15
著者
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Asada Yujiro
Department of Pathology, Faculty of Medicine, University of Miyazaki
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Asada Y
Department Of Pathology Faculty Of Medicine University Of Miyazaki
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Asada Yujiro
Department Of Pathology Faculty Of Medicine University Of Miyazaki
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MORIGUCHI Sayaka
Department of Pathology, Faculty of Medicine, University of Miyazaki
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Uehara Hisao
Division Of Neurosurgery Department Of Clinical Neuroscience Faculty Of Medicine University Of Miyaz
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Asada Yujiro
First Dep. Of Pathology Fac. Of Medicine Miyazaki Univ.
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Asada Yujiro
Department Of The First Pathology Miyazaki Medical College
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Yamasaki Koji
Division Of Neurosurgery Department Of Clinical Neuroscience Faculty Of Medicine University Of Miyaz
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Takeshima Hideo
Division Of Neurosurgery Department Of Clinical Neuroscience Faculty Of Medicine University Of Miyaz
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Takeshima Hideo
Department Of Neurosurgery Faculty Of Medical And Pharmaceutical Sciences Kumamoto University
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Asada Yujiro
Divisions Of Pathophysiology Department Of Pathology Faculty Of Medicine University Of Miyazaki
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Sugimoto Tetsuaki
Department Of Faculty Of Medicine University Of Miyazaki
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Marutsuka Kosuke
Department Of Pathology Division Of Pathophysiology Miyazaki University School Of Medicine
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Moriguchi Sayaka
Department Of Pathology 1 University Of Miyazaki School Of Medicine
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Marutsuka Kousuke
Department Of Pathology Division Of Pathophysiology Miyazaki University School Of Medicine
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Uehara Hisao
Department Of Neurosurgery Faculty Of Medicine University Of Miyazaki
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Moriguchi Sayaka
Department Of Pathology Faculty Of Medicine University Of Miyazaki
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Moriyama Takuzo
Department Of Neurosurgery Faculty Of Medicine University Of Miyazaki
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YAMASAKI Kouji
Department of Neurosurgery, Faculty of Medicine, University of Miyazaki
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FUTAMI Munetomo
Department of Neurosurgery, Faculty of Medicine, University of Miyazaki
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Futami Munetomo
Department Of Neurosurgery Faculty Of Medicine University Of Miyazaki
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Asada Yujiro
Department Of Pathology Faculty Of Medicine Miyazaki University
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Marutsuka Kousuke
First Department Of Pathology Faculty Of Medicine University Of Miyazaki
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Sugimoto Tetsuaki
Department Of Neurosurgery Faculty Of Medicine University Of Miyazaki
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MARUTSUKA Kousuke
Department of Dermatology, Pathology Division, University of Miyazaki Hospital
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