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巴基斯坦治疗福氏耐格里阿米巴所致原发性阿米巴脑膜脑炎的挑战与策略:病例报告

Challenges and Strategies in Managing Naegleria fowleri-Associated Primary Amoebic Meningoencephalitis in Pakistan: A Case Report.

作者信息

Zaman Maham, Fida Tooba, Haris Hafiz Muhammad, Naveed Zarmeen, Haider Shaheer, Khan Tauqeer

机构信息

Quaid-e-Azam Medical College, Bahawalpur, Pakistan.

King Edward Medical University, Lahore, Pakistan.

出版信息

Acta Parasitol. 2025 Jul 7;70(4):150. doi: 10.1007/s11686-025-01091-2.

DOI:10.1007/s11686-025-01091-2
PMID:40622499
Abstract

BACKGROUND

Naegleria fowleri, a thermophilic, free-living amoeba, is the causative agent of Primary Amebic Meningoencephalitis (PAM), a rare but highly fatal infection.

CASE PRESENTATION

This case report highlights a 31-year-old physical trainer from Ichhra, Lahore, who presented with symptoms of headache, fever, and altered behavior, ultimately diagnosed with Primary Amebic Meningoencephalitis (PAM) based on cerebrospinal fluid (CSF) wet mount microscopy findings, with domestic water suspected as the probable source due to the absence of recreational water exposure.

CONCLUSION

The case underscores the urgent need for early diagnosis and intervention to combat the rising mortality rates associated with this deadly infection. The impact of factors such as rising temperatures and compromised water systems on the spread of Naegleria fowleri in Pakistan is discussed, emphasizing the importance of public health measures to prevent further cases.

摘要

背景

福氏耐格里阿米巴是一种嗜热的自由生活阿米巴,是原发性阿米巴脑膜脑炎(PAM)的病原体,这是一种罕见但致死率很高的感染。

病例报告

本病例报告重点介绍了一名来自拉合尔伊赫拉的31岁体育教练,他出现头痛、发热和行为改变的症状,最终根据脑脊液(CSF)湿片显微镜检查结果被诊断为原发性阿米巴脑膜脑炎(PAM),由于没有接触娱乐用水,怀疑家庭用水是可能的感染源。

结论

该病例强调了早期诊断和干预以应对与这种致命感染相关的死亡率上升的迫切需要。讨论了气温上升和水系统受损等因素对巴基斯坦福氏耐格里阿米巴传播的影响,强调了公共卫生措施对预防更多病例的重要性。

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本文引用的文献

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Waking up to the Naegleria threat: urgent measures needed to protect public health in Pakistan.认识到福氏耐格里阿米巴的威胁:巴基斯坦需要采取紧急措施保护公众健康。
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outbreak in Pakistan: unveiling the crisis and path to recovery.巴基斯坦疫情爆发:揭示危机与复苏之路。
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Primary Amoebic Meningoencephalitis by : Pathogenesis and Treatments.
原发性阿米巴脑膜脑炎:发病机制与治疗。
Biomolecules. 2021 Sep 6;11(9):1320. doi: 10.3390/biom11091320.
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Important factors causing high fatal cases of Naegleria fowleri primary amoebic meningoencephalitis in Pakistan.
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Naegleria fowleri in Pakistan.巴基斯坦的福氏耐格里阿米巴。
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Primary amoebic meningoencephalitis caused by Naegleria fowleri: an old enemy presenting new challenges.福氏耐格里阿米巴引起的原发性阿米巴脑膜脑炎:一个带来新挑战的老对手。
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