Meningoencephalitis

14,000,000 Leading Edge Experts on the ideXlab platform

Scan Science and Technology

Contact Leading Edge Experts & Companies

Scan Science and Technology

Contact Leading Edge Experts & Companies

The Experts below are selected from a list of 12252 Experts worldwide ranked by ideXlab platform

Afia Zafar - One of the best experts on this subject based on the ideXlab platform.

  • primary amebic Meningoencephalitis caused by naegleria fowleri karachi pakistan
    Emerging Infectious Diseases, 2011
    Co-Authors: Sadia Shakoor, Syed Faisal Mahmood, Rebecca Bandea, Rama Sriram, Fatima Noman, G. S. Visvesvara, Afia Zafar
    Abstract:

    We report 13 cases of Naegleria fowleri primary amebic Meningoencephalitis in persons in Karachi, Pakistan, who had no history of aquatic activities. Infection likely occurred through ablution with tap water. An increase in primary amebic Meningoencephalitis cases may be attributed to rising temperatures, reduced levels of chlorine in potable water, or deteriorating water distribution systems. P rimary amebic Meningoencephalitis (PAM) is a fatal disease caused by the thermotolerant free-living ameba Naegleria fowleri. Found worldwide in moist soil and freshwater, these amebae proliferate during summer when ambient temperature increases. The organism enters the nasal cavity when water contaminated with amebae is aspirated. Subsequently, it invades the central nervous system through the olfactory neuroepithelium and causes a fatal infection that clinically resembles acute bacterial meningitis. We report 13 cases of N. fowleri PAM in a period of 17 months in the coastal city of Karachi, Pakistan. The Study

Jennifer R Cope - One of the best experts on this subject based on the ideXlab platform.

Popchai Ngamskulrungroj - One of the best experts on this subject based on the ideXlab platform.

  • the primary target organ of cryptococcus gattii is different from that of cryptococcus neoformans in a murine model
    Mbio, 2012
    Co-Authors: Popchai Ngamskulrungroj, Yun Chang, Edward Sionov, Kyung J Kwonchung
    Abstract:

    Cryptococcosis is caused by the opportunistic pathogen Cryptococcus neoformans or by the primary pathogen Crypto- coccus gattii. Epidemiological studies suggest that patients infected with C. gattii mainly present with pulmonary disease, while those infected with C. neoformans commonly manifest Meningoencephalitis. We compared the pathogenesis of the two species using the C. neoformans H99 and C. gattii R265 strains in a murine inhalation model. C. neoformans grew faster in the brain and caused death by Meningoencephalitis, while C. gattii grew faster in the lungs and caused death without producing fulminat- ing Meningoencephalitis. Despite the consistent failure to recover R265 cells from blood, a fraction of the R265 population was detected in the extrapulmonary organs, including the brain. Upon intravenous (i.v. ) inoculation of 10 4 cells via the tail vein, however, C. gattii produced severe Meningoencephalitis, demonstrating that C. gattii cells can efficiently cross the blood-brain barrier. Interestingly, i.v. inoculation with five cells caused brain infection in only 10% of C. gattii-infected mice, compared to 60% of mice infected with C. neoformans. In mice that had been initially inoculated via the pulmonary route and subsequently challenged intravenously, a protective effect was observed only in mice infected with C. gattii. C. neoformans cells grew 10 to 100 times faster than C. gattii cells in blood or serum collected from naive mice. The paucity of Meningoencephalitis upon inhala- tion of C. gattii, therefore, may be partly due to an unknown factor(s) in the host's blood coupled with immune protection that reduces dissemination to the brain and fosters lung infection. IMPORTANCE While Cryptococcus neoformans is the most common cause of fatal Meningoencephalitis, especially in HIV pa- tients, Cryptococcus gattii causes disease mainly in non-HIV patients. Clinical studies revealed that most patients infected with C. gattii VGII strains have lung infections with minimal brain involvement. Despite extensive clinicopathological studies on cryptococcosis in animal models, only a few have included C. gattii. We compared the pathogenesis of the two species in mice using an inhalation model. Similar to infection in humans, even though C. gattii can cross the blood-brain barrier, it failed to cause fatal Meningoencephalitis but caused fatal lung infection. We show that growth of C. gattii in mouse blood is significantly slower than that of C. neoformans and that a secondary protective phenomenon, though weak, manifests itself only in C. gattii infection. Our study provides a model for understanding the clinicopathological differences between these two closely geneti- cally related pathogens.

Xiaoguang Chen - One of the best experts on this subject based on the ideXlab platform.

Nicholas D Hysmith - One of the best experts on this subject based on the ideXlab platform.

  • angiostrongylus cantonensis eosinophilic meningitis in an infant tennessee usa
    Emerging Infectious Diseases, 2017
    Co-Authors: Tim Flerlage, Yvonne Qvarnstrom, Arshia Madni, Bindiya Bagga, Nicholas D Hysmith, John P Devincenzo
    Abstract:

    : Angiostrongylus cantonensis, the rat lungworm, is the most common infectious cause of eosinophilic Meningoencephalitis worldwide. This parasite is endemic to Southeast Asia and the Pacific Islands, and its global distribution is increasing. We report A. cantonensis Meningoencephalitis in a 12-month-old boy in Tennessee, USA, who had not traveled outside of southwestern Tennessee or northwestern Mississippi.