title: [Primary amebic meningoencephalitis. Report of a suspicious case and review of the medical literature].
abstract: The case of a 24-year old patient who, in July 1976, submerged into a canal of Guanimar river and, five days later, had a febrile meningoencephalitic clinical picture, is presented; he was in a very severe condition and recovered without sequelae with a treatment based on amphotericin B. The negative cultures for bacteria, fungi and viruses, the characteristics of cerebrospinal fluid and the observation of free-life amebae in the water of the wash of rhinopharynx and pharingeal cavity allowed to establish, with great accuracy, the presuntive diagnosis of primary amebic meningoencephalitis.
mesh_terms: D000328:Adult; D000562:Amebiasis / Q000134:cerebrospinal fluid / Q000188:drug therapy* / Q000469:parasitology; D000666:Amphotericin B / Q000627:therapeutic use; D002555:Cerebrospinal Fluid / Q000469:parasitology; D056890:Eukaryota / Q000302:isolation & purification*; D006801:Humans; D008297:Male; D008590:Meningoencephalitis / Q000134:cerebrospinal fluid / Q000188:drug therapy / Q000469:parasitology*
chemical_list: D000666:Amphotericin B
vernacular_title: Meningoencefalitis amebiana primaria. Estudio de un caso sospechoso y revisión de la literatura médica.