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Phần 4: Nghiên cứu về tổn thương não màng não do loài amip ăn não người Naeglaria fowleri vẫn còn bỏ ngõ và tỷ lệ tử vong còn cao

Việc nghiên cứu và tìm hiểu về một tác nhân gây bệnh, đặc biệt là các tác nhân ký sinh trùng nhiệt đới bị lãng quên là rất quan trọng bởi nếu bỏ qua, chúng dễ dàng dẫn đến các biến chứng nguy hiểm và đe dọa tính mạng của bệnh nhân và cả cộng đồng nếu nguy cơ lây nhiễm cao.

Một trong những tác nhân ký sinh trùng đơn bào gây bệnh nghiêm trọng cơ quan thần kinh trung ương ở người với tỷ lệ tử vong lên đến gần 100% mặc dù bệnh nhân đang ở trong các cơ sở y tế hiện đại và ở quốc gia có nền y học bậc nhất thế giới. Đó chính là loại amip ăn não Naegleria fowleri đã gây tử vong 2 bệnh nhân ở Việt Nam năm 2014.

Amphizoic amoebae: pathogenic free-living protozoa; review of the literature and review of cases in Thailand.

Siripanth C.

J Med Assoc Thai. 2005 May;88(5):701-7. Review.

PMID: 16149694 Similar articles Select item 18509301

Primary amebic meningoencephalitis--Arizona, Florida, and Texas, 2007.

Centers for Disease Control and Prevention (CDC).

MMWR Morb Mortal Wkly Rep. 2008 May 30;57(21):573-7.

PMID: 18509301 Free Article Similar articles Select item 10651295


Hình 1

Protein kinase activation and protein phosphorylation in Naegleria fowleri amebae in response to normal human serum.

Chu DM, Ferguson TJ, Marciano-Cabral F.

J Eukaryot Microbiol. 2000 Jan-Feb;47(1):40-7.

PMID: 10651295 Similar articles Select item 646016

Protective immunity to Naegleria fowleri in experimental amebic meningoencephalitis.

Thong YH, Shepherd C, Ferrante A, Rowan-Kelly B.

Am J Trop Med Hyg. 1978 Mar;27(2 Pt 1):238-40.

PMID: 646016 Similar articles Select item 22645743

Naegleria fowleri meningoencephalitis.

Cetin N, Blackall D.

Blood. 2012 Apr 19;119(16):3658. No abstract available.

PMID: 22645743 Free Article Similar articles Select item 25052979

Fatal primary meningoencephalitis caused by Naegleria fowleri.

Shariq A, Afridi FI, Farooqi BJ, Ahmed S, Hussain A.

J Coll Physicians Surg Pak. 2014 Jul;24(7):523-5. doi: 07.2014/JCPSP.523525.

PMID: 25052979 Similar articles Select item 27480446


Hình 2

Excretory and Secretory Proteins of Naegleria fowleri Induce Inflammatory Responses in BV-2 Microglial Cells.

Lee J, Kang JM, Kim TI, Kim JH, Sohn HJ, Na BK, Shin HJ.

J Eukaryot Microbiol. 2017 Mar;64(2):183-192. doi: 10.1111/jeu.12350. Epub 2016 Aug 23.

PMID:27480446 Similar articles Select item 2258827

Epidemiology of free-living ameba infections.

Visvesvara GS, Stehr-Green JK.

J Protozool. 1990 Jul-Aug;37(4):25S-33S. Review.

PMID: 2258827 Similar articles Select item 18762406

Therapeutic effect of rokitamycin in vitro and o­n experimental meningoencephalitis due to Naegleria fowleri.

Kim JH, Lee YJ, Sohn HJ, Song KJ, Kwon D, Kwon MH, Im KI, Shin HJ.

Int J Antimicrob Agents. 2008 Nov;32(5):411-7. doi: 10.1016/j.ijantimicag.2008.05.018. Epub 2008 Aug 30.

PMID: 18762406 Similar articles Select item 21535019

Effects of immunization with the rNfa1 protein o­n experimental Naegleria fowleri-PAM mice.

Lee YJ, Kim JH, Sohn HJ, Lee J, Jung SY, Chwae YJ, Kim K, Park S, Shin HJ.

Parasite Immunol. 2011 Jul;33(7):382-9. doi: 10.1111/j.1365-3024.2011.01296.x.

PMID: 21535019 Free Article Similar articles Select item 26259797

Naegleria fowleri: pathogenesis, diagnosis, and treatment options.

Grace E, Asbill S, Virga K.

Antimicrob Agents Chemother. 2015 Nov;59(11):6677-81. doi: 10.1128/AAC.01293-15. Epub 2015 Aug 10. Review.

PMID: 26259797 Free PMC Article Similar articles Select item 24950717


Hình 3

Genome-wide identification of pathogenicity factors of the free-living amoeba Naegleria fowleri.

Zysset-Burri DC, Müller N, Beuret C, Heller M, Schürch N, Gottstein B, Wittwer M.

BMC Genomics. 2014 Jun 19;15:496. doi: 10.1186/1471-2164-15-496.

PMID: 24950717 Free PMC Article Similar articles Select item 21843657

Origin and evolution of the worldwide distributed pathogenic amoeboflagellate Naegleria fowleri.

De Jonckheere JF.

Infect Genet Evol. 2011 Oct;11(7):1520-8. doi: 10.1016/j.meegid.2011.07.023. Epub 2011 Aug 6. Review.

PMID: 21843657 Similar articles Select item 26322498

Effective PCR-based detection of Naegleria fowleri from cultured sample and PAM-developed mouse.

Kang H, Seong GS, Sohn HJ, Kim JH, Lee SE, Park MY, Lee WJ, Shin HJ.

Eur J Protistol. 2015 Oct;51(5):401-8. doi: 10.1016/j.ejop.2015.07.003. Epub 2015 Aug 14.

PMID: 26322498 Similar articles Select item 19047756

Mucins in the host defence against Naegleria fowleri and mucinolytic activity as a possible means of evasion.

Cervantes-Sandoval I, Serrano-Luna Jde J, García-Latorre E, Tsutsumi V, Shibayama M.

Microbiology. 2008 Dec;154(Pt 12):3895-904. doi: 10.1099/mic.0.2008/019380-0.

PMID: 19047756 Similar articles Select item 8232369

Free-living amebas: infection of the central nervous system.

Martinez AJ.

Mt Sinai J Med. 1993 Sep;60(4):271-8.

PMID: 8232369 Similar articles https://www.ncbi.nlm.nih.gov/pubmed

Production of monoclonal antibodies to Naegleria fowleri, agent of primary amebic meningoencephalitis.

Visvesvara GS, Peralta MJ, Brandt FH, Wilson M, Aloisio C, Franko E.

J Clin Microbiol. 1987 Sep;25(9):1629-34.

PMID: 3308948 Free PMC Article Similar articles Select item 12041585


Hình 4

Distribution of pathogenic Naegleria spp in Thailand.

Tiewcharoen S, Junnu V.

Southeast Asian J Trop Med Public Health. 2001;32 Suppl 2:172-8. Review.

PMID: 12041585 Similar articles Select item 8916161

Primary amoebic meningoencephalitis with Naegleria fowleri: clinical review.

Barnett ND, Kaplan AM, Hopkin RJ, Saubolle MA, Rudinsky MF.

Pediatr Neurol. 1996 Oct;15(3):230-4. Review.

PMID: 8916161 Similar articles Select item 25231600

Detection of biomarkers of pathogenic Naegleria fowleri through mass spectrometry and proteomics.

Moura H, Izquierdo F, Woolfitt AR, Wagner G, Pinto T, del Aguila C, Barr JR.

J Eukaryot Microbiol. 2015 Jan-Feb;62(1):12-20. doi: 10.1111/jeu.12178. Epub 2014 Oct 28.

PMID: 25231600 Free PMC Article Similar articles Select item 27616699

Biology and pathogenesis of Naegleria fowleri.

Siddiqui R, Ali IKM, Cope JR, Khan NA.

Acta Trop. 2016 Dec;164:375-394. doi: 10.1016/j.actatropica.2016.09.009. Epub 2016 Sep 9. Review.

PMID: 27616699 Similar articles Select item 11831777

Isolation of a unique membrane protein from Naegleria fowleri.

Réveiller FL, Suh SJ, Sullivan K, Cabanes PA, Marciano-Cabral F.

J Eukaryot Microbiol. 2001 Nov-Dec;48(6):676-82.

PMID: 11831777 Similar articles Select item 6737174.

An experimental model for Naegleria fowleri-induced primary amebic meningoencephalitis in rabbits.

Smego RA Jr, Durack DT.

J Parasitol. 1984 Feb;70(1):78-81.

PMID:6737174 Similar articles Select item 19919836

A real-time PCR diagnostic method for detection of Naegleria fowleri.

Madarová L, Trnková K, Feiková S, Klement C, Obernauerová M.

Exp Parasitol. 2010 Sep;126(1):37-41. doi: 10.1016/j.exppara.2009.11.001. Epub 2009 Nov 15.

PMID: 19919836 Similar articles Select item 17221024

[Primary amebic meningoencephalitis: two new cases report from Venezuela].

Petit F, Vilchez V, Torres G, Molina O, Dorfman S, Mora E, Cardozo J.

Arq Neuropsiquiatr. 2006 Dec;64(4):1043-6. Spanish.

PMID: 17221024 Free Article Similar articles Select item 20099054

[Molecular diagnosis of a fatal primary amoebic meningoencephalitis in Guadeloupe (French West Indies)].

Nicolas M, De Jonckheere JF, Pernin P, Bataille H, Le Bris V, Herrmann-Storck C.

Bull Soc Pathol Exot. 2010 Feb;103(1):14-8. doi: 10.1007/s13149-009-0028-1. Epub 2010 Jan 22. French.

PMID: 20099054 Similar articles Select item 17060522.

Synergistic activities of azithromycin and amphotericin B against Naegleria fowleri in vitro and in a mouse model of primary amebic meningoencephalitis.

Soltow SM, Brenner GM.

Antimicrob Agents Chemother. 2007 Jan;51(1):23-7. Epub 2006 Oct 23.

PMID: 17060522 Free PMC Article Similar articles Select item 7793928

Identification and epidemiological typing of Naegleria fowleri with DNA probes.

Kilvington S, Beeching J.

Appl Environ Microbiol. 1995 Jun;61(6):2071-8.

PMID: 7793928 Free PMC Article Similar articles Select item 23360210


Hình 5

The mitochondrial genome and a 60-kb nuclear DNA segment from Naegleria fowleri, the causative agent of primary amoebic meningoencephalitis.

Herman EK, Greninger AL, Visvesvara GS, Marciano-Cabral F, Dacks JB, Chiu CY.

J Eukaryot Microbiol. 2013 Mar-Apr;60(2):179-91. doi: 10.1111/jeu.12022. Epub 2013 Jan 29.

PMID: 23360210 Free PMC Article Similar articles Select item 15138806

The identification of Naegleria fowleri from water and soil samples by nested PCR.

Maclean RC, Richardson DJ, LePardo R, Marciano-Cabral F.

Parasitol Res. 2004 Jun;93(3):211-7.

PMID: 15138806 Similar articles Select item 28086072

Identification of Naegleria fowleri proteins linked to primary amoebic meningoencephalitis.

Jamerson M, Schmoyer JA, Park J, Marciano-Cabral F, Cabral GA.

Microbiology. 2017 Mar;163(3):322-332. doi: 10.1099/mic.0.000428. Epub 2017 Mar 23.

PMID: 28086072 Similar articles Select item 8119377

Naegleria fowleri: characterization of a secreted histolytic cysteine protease.

Aldape K, Huizinga H, Bouvier J, McKerrow J.

Exp Parasitol. 1994 Mar;78(2):230-41.

PMID:8119377 Similar articles Select item 25445746

Tackling infection owing to brain-eating amoeba.

Baig AM, Khan NA.

Acta Trop. 2015 Feb;142:86-8. doi: 10.1016/j.actatropica.2014.11.004. Epub 2014 Nov 13. Review.

PMID: 25445746 Similar articles Select item 1608390

Primary amebic meningoencephalitis--North Carolina, 1991.

Centers for Disease Control (CDC).

MMWR Morb Mortal Wkly Rep. 1992 Jun 26;41(25):437-40.

PMID:1608390 Similar articles Select item 12795402


Hình 6

Interaction of secretory immunoglobulin A antibodies with Naegleria fowleri trophozoites and collagen type I.

Shibayama M, Serrano-Luna Jde J, Rojas-Hernández S, Campos-Rodríguez R, Tsutsumi V.

Can J Microbiol. 2003 Mar;49(3):164-70.

PMID: 12795402 Similar articles Select item 17340143

Nitric oxide production and nitric oxide synthase immunoreactivity in Naegleria fowleri.

Rojas-Hernández S, Rodríguez-Monroy MA, Moreno-Fierros L, Jarillo-Luna A, Carrasco-Yepez M, Miliar-García A, Campos-Rodríguez R.

Parasitol Res. 2007 Jul;101(2):269-74. Epub 2007 Mar 6.

PMID: 17340143 Similar articles

Assessing the risk of primary amoebic meningoencephalitis from swimming in the presence of environmental Naegleria fowleri.

Cabanes PA, Wallet F, Pringuez E, Pernin P.

Appl Environ Microbiol. 2001 Jul;67(7):2927-31.

PMID: 11425704 Free PMC ArticleSimilar articles Select item 26679626 102.

Use of the Novel Therapeutic Agent Miltefosine for the Treatment of Primary Amebic Meningoencephalitis: Report of 1 Fatal and 1 Surviving Case.

Cope JR, Conrad DA, Cohen N, Cotilla M, DaSilva A, Jackson J, Visvesvara GS.

Clin Infect Dis. 2016 Mar 15;62(6):774-6. doi: 10.1093/cid/civ1021. Epub 2015 Dec 17.

PMID: 26679626 Free PMC ArticleSimilar articlesSelect item 29673623 103.

Detection of serum antibodies in children and adolescents against Balamuthia mandrillaris, Naegleria fowleri and Acanthamoeba T4.

Lares-Jiménez LF, Borquez-Román MA, Alfaro-Sifuentes R, Meza-Montenegro MM, Casillas-Hernández R, Lares-Villa F.

Exp Parasitol. 2018 Jun;189:28-33. doi: 10.1016/j.exppara.2018.04.011. Epub 2018 Apr 16.

PMID: 29673623 Similar articles Select item 22391923 104.

Primary amebic meningoencephalitis: a case report and literature review.

Lopez C, Budge P, Chen J, Bilyeu S, Mirza A, Custodio H, Irazuzta J, Visvesvara G, Sullivan KJ.

Pediatr Emerg Care. 2012 Mar;28(3):272-6. doi: 10.1097/PEC.0b013e3182495589. Review.

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Development of a rapid DNA extraction method and o­ne-step nested PCR for the detection of Naegleria fowleri from the environment.

Ahmad AF, Lonnen J, Andrew PW, Kilvington S.

Water Res. 2011 Oct 15;45(16):5211-7. doi: 10.1016/j.watres.2011.07.025. Epub 2011 Jul 27.

PMID: 21855956 Similar articlesSelect item 28919331 106.

Production and characterization of monoclonal antibodies against cathepsin B and cathepsin B-Like proteins of Naegleria fowleri.

Seong GS, Sohn HJ, Kang H, Seo GE, Kim JH, Shin HJ.

Exp Parasitol. 2017 Dec;183:171-177. doi: 10.1016/j.exppara.2017.09.004. Epub 2017 Sep 14.

PMID: 28919331 Similar articlesSelect item 805226 107.

Experimental infections with pathogenic free-living amebae in laboratory primate hosts: I (A) A study o­n susceptibility to Naegleria fowleri.

Wong MM, Karr SL Jr, Balamuth WB.

J Parasitol. 1975 Apr;61(2):199-208.

PMID: 805226 Similar articlesSelect item 15119487 108.

Naegleria fowleri hemorrhagic meningoencephalitis: report of two fatalities in children.

Okuda DT, Hanna HJ, Coons SW, Bodensteiner JB.

J Child Neurol. 2004 Mar;19(3):231-3.

PMID: 15119487 Similar articlesSelect item 16475525 109.

Seasonal meningoencephalitis in Holstein cattle caused by Naegleria fowleri.

Daft BM, Visvesvara GS, Read DH, Kinde H, Uzal FA, Manzer MD.

J Vet Diagn Invest. 2005 Nov;17(6):605-9.

PMID: 16475525 Similar articlesSelect item 2133420 110.

Pathogenic free-living amoebae.

Im KI.

Kisaengchunghak Chapchi. 1990 Dec;28 Suppl:29-39. Review.

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Naeglaeria infection of the central nervous system, CT scan findings: a case series.

Naqi R, Azeemuddin M.

J Pak Med Assoc. 2013 Mar;63(3):399-402.

PMID: 23914650 Free ArticleSimilar articlesSelect item 2193354 112.

Naegleria and Acanthamoeba infections: review.

Ma P, Visvesvara GS, Martinez AJ, Theodore FH, Daggett PM, Sawyer TK.

Rev Infect Dis. 1990 May-Jun;12(3):490-513. Review.

PMID: 2193354 Similar articlesSelect item 12418810 113.

The role of blood vessels and lungs in the dissemination of Naegleria fowleri following intranasal inoculation in mice.

Jaroli KL, McCosh JK, Howard MJ.

Folia Parasitol (Praha). 2002;49(3):183-8.

PMID: 12418810 Free ArticleSimilar articlesSelect item 8508169 114.

Antagonistic action of the bacterium Bacillus licheniformis M-4 toward the amoeba Naegleria fowleri.

Cordovilla P, Valdivia E, Gonzalez-Segura A, Galvez A, Martinez-Bueno M, Maqueda M.

J Eukaryot Microbiol. 1993 May-Jun;40(3):323-8.

PMID: 8508169 Similar articlesSelect item 18086014 115.

Intranasal immunization with Naegleria fowleri lysates and Cry1Ac induces metaplasia in the olfactory epithelium and increases IgA secretion.

Jarillo-Luna A, Moreno-Fierros L, Campos-Rodríguez R, Rodríguez-Monroy MA, Lara-Padilla E, Rojas-Hernández S.

Parasite Immunol. 2008 Jan;30(1):31-8.

PMID: 18086014 Free ArticleSimilar articlesSelect item 11400739 116.

IgA and IgM anti-Naegleria fowleri antibodies in human serum and saliva.

Rivera V, Hernández D, Rojas S, Oliver G, Serrano J, Shibayama M, Tsutsumi V, Campos R.

Can J Microbiol. 2001 May;47(5):464-6.

PMID: 11400739 Similar articlesSelect item 26721056 117.

Naeglaria fowleri: the brain eating amoeba or an enigma?

Mukhtar F, Wazir MS.

J Ayub Med Coll Abbottabad. 2015 Jul-Sep;27(3):735-6. Review.

PMID: 26721056 Similar articlesSelect item 3367318 118.

Intranasal immunization of mice against Naegleria fowleri.

Bush LE, John DT.

J Protozool. 1988 Feb;35(1):172-6.

PMID: 3367318 Similar articlesSelect item 15271892 119.

Intranasal coadministration of the Cry1Ac protoxin with amoebal lysates increases protection against Naegleria fowleri meningoencephalitis.

Rojas-Hernández S, Rodríguez-Monroy MA, López-Revilla R, Reséndiz-Albor AA, Moreno-Fierros L.

Infect Immun. 2004 Aug;72(8):4368-75.

PMID: 15271892 Free PMC ArticleSimilar articlesSelect item 25772952 120.

Naegleria fowleri in Pakistan - an emerging catastrophe.

Mahmood K.

J Coll Physicians Surg Pak. 2015 Mar;25(3):159-60. doi: 03.2015/JCPSP.159160. No abstract available.

PMID: 25772952 Similar articles

Calcium-dependent protection from complement lysis in Naegleria fowleri amebae.

Chu DM, Woodward J, Fritzinger A, Marciano-Cabral F.

Cell Calcium. 2002 Mar;31(3):105-14.

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Investigational drug available directly from CDC for the treatment of infections with free-living amebae.

Centers for Disease Control and Prevention (CDC).

MMWR Morb Mortal Wkly Rep. 2013 Aug 23;62(33):666.

PMID: 23965830 Free PMC ArticleSimilar articlesSelect item 24721258 123.


Hình 7

Naegleria fowleri: contact-dependent secretion of electrondense granules (EDG).

Chávez-Munguía B, Villatoro LS, Omaña-Molina M, Rodríguez-Monroy MA, Segovia-Gamboa N, Martínez-Palomo A.

Exp Parasitol. 2014 Jul;142:1-6. doi: 10.1016/j.exppara.2014.03.027. Epub 2014 Apr 8.

PMID: 24721258 Similar articlesSelect item 22285703 124.

Meningoencephalitis caused by Naegleria fowleri in cattle of northeast Brazil.

Pimentel LA, Dantas AF, Uzal F, Riet-Correa F.

Res Vet Sci. 2012 Oct;93(2):811-2. doi: 10.1016/j.rvsc.2012.01.002. Epub 2012 Jan 27.

PMID: 22285703 Similar articlesSelect item 8232368 125.

Free-living amebas of the genera Acanthamoeba and Naegleria: an overview and basic microbiologic correlates.

Bottone EJ.

Mt Sinai J Med. 1993 Sep;60(4):260-70. Review.

PMID: 8232368 Similar articlesSelect item 12577098 126.

Naegleria meningitis: a rare survival.

Jain R, Prabhakar S, Modi M, Bhatia R, Sehgal R.

Neurol India. 2002 Dec;50(4):470-2.

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[Human pathology caused by free-living amoebae].

Scaglia M.

Ann Ist Super Sanita. 1997;33(4):551-66. Review. Italian.

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Cytopathic changes and pro-inflammatory cytokines induced by Naegleria fowleri trophozoites in rat microglial cells and protective effects of an anti-Nfa1 antibody.

Oh YH, Jeong SR, Kim JH, Song KJ, Kim K, Park S, Sohn S, Shin HJ.

Parasite Immunol. 2005 Dec;27(12):453-9.

PMID: 16255744 Free ArticleSimilar articles Select item 22919000 129.


Hình 8

Primary amebic meningoencephalitis deaths associated with sinus irrigation using contaminated tap water.

Yoder JS, Straif-Bourgeois S, Roy SL, Moore TA, Visvesvara GS, Ratard RC, Hill VR, Wilson JD, Linscott AJ, Crager R, Kozak NA, Sriram R, Narayanan J, Mull B, Kahler AM, Schneeberger C, da Silva AJ, Poudel M, Baumgarten KL, Xiao L, Beach MJ.

Clin Infect Dis. 2012 Nov;55(9):e79-85. doi: 10.1093/cid/cis626. Epub 2012 Aug 22.

PMID: 22919000 Similar articlesSelect item 27525348 130.

Naegleria fowleri: Diagnosis, Pathophysiology of Brain Inflammation, and Antimicrobial Treatments.

Pugh JJ, Levy RA.

ACS Chem Neurosci. 2016 Sep 21;7(9):1178-9. doi: 10.1021/acschemneuro.6b00232. Epub 2016 Aug 15.

PMID: 27525348 Similar articles Select item 8144894 131.

Membrane vesiculation of Naegleria fowleri amoebae as a mechanism for resisting complement damage.

Toney DM, Marciano-Cabral F.

J Immunol. 1994 Mar 15;152(6):2952-9.

PMID: 8144894 Similar articlesSelect item 9163883 132.

Primary amebic meningoencephalitis due to Naegleria fowleri in a South American tapir.

Lozano-Alarcón F, Bradley GA, Houser BS, Visvesvara GS.

Vet Pathol. 1997 May;34(3):239-43.

PMID: 9163883 Similar articlesSelect item 22423138 133.

Is ritual cleansing a missing link between fatal infection and brain-eating amoebae?

Siddiqui R, Khan NA.

Clin Infect Dis. 2012 Jun;54(12):1817-8. doi: 10.1093/cid/cis309. Epub 2012 Mar 15. No abstract available.

PMID: 22423138 Similar articlesSelect item 16557484 134.

Activity of isoflavans of Dalea aurea (Fabaceae) against the opportunistic ameba naegleria fowleri.

Belofsky G, Carreno R, Goswick SM, John DT.

Planta Med. 2006 Mar;72(4):383-6.

PMID: 16557484 Similar articlesSelect item 22866356 135.

Seasonal primary amebic meningoencephalitis (PAM) in the south: summertime is PAM time.

Diaz J.

J La State Med Soc. 2012 May-Jun;164(3):148-50, 152-5.

PMID: 22866356 Similar articlesSelect item 16579814 136.

In-vitro activity of miltefosine and voriconazole o­n clinical isolates of free-living amebas: Balamuthia mandrillaris, Acanthamoeba spp., and Naegleria fowleri.

Schuster FL, Guglielmo BJ, Visvesvara GS.

J Eukaryot Microbiol. 2006 Mar-Apr;53(2):121-6.

PMID: 16579814 Similar articlesSelect item 2014136 137.

Free-living amoebae: pathogenicity and immunity.

Ferrante A.

Parasite Immunol. 1991 Jan;13(1):31-47. Review.

PMID: 2014136 Similar articles Select item 15208515 138.

Review of clinical presentations in Thai patients with primary amoebic meningoencephalitis.

Wiwanitkit V.

MedGenMed. 2004 Mar 8;6(1):2. Review.

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Hình 9

What do we know by now about the genus Naegleria?

De Jonckheere JF.

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Naegleria fowleri That Induces Primary Amoebic Meningoencephalitis: Rapid Diagnosis and Rare Case of Survival in a 12-Year-Old Caucasian Girl.

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Hình 14

Diagnosis, Clinical Course, and Treatment of Primary Amoebic Meningoencephalitis in the United States, 1937-2013.

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Primary amoebic meningoencephalitis: two new cases from Pakistan.

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Primary Amoebic Meningoencephalitis in an Infant due to Naegleria fowleri.

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Immunoblot analysis of IgA antibodies to Naegleria fowleri in human saliva and serum.

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