What is cerebral amebiasis?

Updated: Jul 19, 2019
  • Author: Vinod K Dhawan, MD, FACP, FRCPC, FIDSA; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Amebic abscesses resulting from hematogenous spread have occasionally been described in the brain. Cerebral amebiasis occurs in 0.6% of amebic liver abscess cases. Patients commonly present with the abrupt onset of nausea, vomiting, headache, and mental status changes. Computed tomography (CT) reveals irregular lesions without a surrounding capsule or enhancement. A tissue biopsy sample reveals the trophozoites. Progression can be very rapid, sometimes leading to death within 12-72 hours.


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