Aurongzeb Muhammad, Nazir Muhammad Amer, Yasmin Raheela, Kiran Ammeema, Fatima Raiha, Ali Rehan, Khan Salman Ahmed, Ul-Haq Asad, Al-Regaiey Khalid, Abualait Turki, Kaleem Imdad, Bashir Shahid
Department of Applied Sciences, FEST, Hamdard University, Karachi 74600, Pakistan.
HITEC-IMS Taxila, National University of Medical Sciences (NUMS), Rawalpindi, Pakistan.
J Parasitol Res. 2024 Nov 26;2024:5514520. doi: 10.1155/2024/5514520. eCollection 2024.
The amoeba stands as the primary culprit behind primary amebic meningoencephalitis (PAM), presenting a substantial global public health concern. In recent years, over 17 cases of PAM have been reported in Karachi, Pakistan, highlighting its increased prevalence in the country's most densely populated city. This study scrutinized 74 cerebrospinal fluid (CSF) samples collected from meningitis patients across various health facilities in the city. These samples underwent thorough examination employing biochemical, microbial, and cytological methods. Additionally, polymerase chain reaction (PCR) with specific primers targeting the genus and was employed to ascertain the presence of in the CSF samples. While biochemical and cytological analyses provided supportive information, they failed to yield a distinct diagnostic pattern. Nevertheless, through direct microscopic observation, cultural growth, and PCR-based analyses, was definitively identified in one CSF sample.
变形虫是原发性阿米巴脑膜脑炎(PAM)的主要病因,这是一个重大的全球公共卫生问题。近年来,巴基斯坦卡拉奇报告了17例以上的PAM病例,凸显了这种疾病在该国人口最密集城市中的发病率上升。本研究对从该市各医疗机构的脑膜炎患者收集的74份脑脊液(CSF)样本进行了仔细检查。这些样本采用生化、微生物和细胞学方法进行了全面检查。此外,还使用针对该属的特异性引物进行聚合酶链反应(PCR),以确定脑脊液样本中是否存在该病原体。虽然生化和细胞学分析提供了支持性信息,但未能产生明确的诊断模式。然而,通过直接显微镜观察、培养生长和基于PCR的分析,在一份脑脊液样本中明确鉴定出了该病原体。