30 June 2020>: Articles
A Surviving Case of Acanthamoeba Granulomatous Amebic Encephalitis in a Hematopoietic Stem Cell Transplant Recipient
Challenging differential diagnosis, Unusual or unexpected effect of treatment
Niamh A. Keane D , Louise Marie Lane C , Emma Canniff B , Daniel Hare D , Simon Doran B , Eugene Wallace E , Siobhan Hutchinson B , Marie-Louise Healy E , Brian Hennessy B , Jim Meaney D , Peter Chiodini D , Brian O’Connell D , Alan Beausang C , Elisabeth Vandenberghe E*DOI: 10.12659/AJCR.923219
Am J Case Rep 2020; 21:e923219
Figure 2. Histopathology. (A) Low-power magnification H&E photomicrographs of brain histology. Fragments of grey and white matter showing perivascular and parenchymal chronic inflammation, composed of lymphocytes, macrophages, and microglial cells. Rare multinucleated giant cells are seen (H&E ×10 objective). (B) Low-power magnification H&E photomicrographs of brain histology. Several variably sized aggregates of microglial cells forming microglial nodules are seen (H&E ×10 objective). (C) High-power magnification H&E photomicrographs of brain histology. Multiple rounded organisms are seen. The majority have a well-defined capsule with abundant granular/vacuolated cytoplasm, a round nucleus, and prominent central karyosome, consistent with amoebic trophozoites (blue arrows). Smaller ones have dark nuclei with a wrinkled and rather refractile outer capsule, consistent with amoebic cysts (red arrows) (H&E ×40 objective).