Amoebic meningoencephalitis in Samarinda East Kalimantan

Abstract

Meningoencephalitis is a disease of central nervous system caused by s microorganism such as bacteria, Rickettsiae, Spirochaeta, virus, fungus, protozoa and helminth. Free living amoeba protozoa has been reported as an etiology agent of menigoencephalitis. Amoebic meningoencephalitis is a very rare condition and often fatal because of late diagnosis. We reported a 24 years old woman, hospitalized at Abdul Wahab Syahranie's Hospital, Samarinda East Kalimantan with decreased of consciousness and fever. The brain MRI showed focal lession suggested as a granuloma. ed Microorganisms like cyst and trophozoit with pseudopodia amoeboic form were identified from the cerebrospinal fluid. Based on these findings the patient was diagnosed with amoebic meningoencephalitis infection and got intravenous metronidazole. The patient died on the twenty third days of hospitalization..