Balamuthia mandrillaris meningoencephalitis associated with solid organ transplantation - Review of cases

Matthew LaFleur, David Joyner, Bruce Schlakman, Ludwig Orozco-Castillo, Majid Khan

Research output: Contribution to journalArticle

Abstract

We report the first identified transmission of Balamuthia mandrillaris through solid organ transplantation. Kidneys were transplanted from a donor with presumptive diagnosis of autoimmune encephalitis. Shortly after, the recipients developed neurologic symptoms. Magnetic Resonance Imaging of the brain from the donor and both kidney recipients demonstrated multiple ring enhancing lesions with surrounding edema and adjacent leptomeningeal extension. In addition most of the lesions demonstrated signal changes suggesting central hemorrhagic foci. Specimens were tested locally and at the Centers for Disease Control and Prevention. Histopathology revealed B. mandrillaris in either brain tissue and/or cerebral spinal fluid in the donor and recipients.

Original languageEnglish (US)
Pages (from-to)9-18
Number of pages10
JournalJournal of Radiology Case Reports
Volume7
Issue number9
DOIs
StatePublished - Oct 4 2013
Externally publishedYes

Fingerprint

Balamuthia mandrillaris
Meningoencephalitis
Organ Transplantation
Kidney
Brain
Centers for Disease Control and Prevention (U.S.)
Neurologic Manifestations
Edema
Magnetic Resonance Imaging

Keywords

  • Balamuthia
  • Granulomatous amoebic encephalitis
  • Mandrillaris
  • Meningoencephalitis
  • Parasitic infections
  • Transplant related infections

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Balamuthia mandrillaris meningoencephalitis associated with solid organ transplantation - Review of cases. / LaFleur, Matthew; Joyner, David; Schlakman, Bruce; Orozco-Castillo, Ludwig; Khan, Majid.

In: Journal of Radiology Case Reports, Vol. 7, No. 9, 04.10.2013, p. 9-18.

Research output: Contribution to journalArticle

LaFleur, Matthew ; Joyner, David ; Schlakman, Bruce ; Orozco-Castillo, Ludwig ; Khan, Majid. / Balamuthia mandrillaris meningoencephalitis associated with solid organ transplantation - Review of cases. In: Journal of Radiology Case Reports. 2013 ; Vol. 7, No. 9. pp. 9-18.
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