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Volume 14, Number 11—November 2008

Dispatch

Successful Treatment of Disseminated Acanthamoeba sp. Infection with Miltefosine

Alexander C. AichelburgComments to Author , Julia Walochnik, Ojan Assadian, Helmut Prosch, Andrea Steuer, Gedeon Perneczky, Govinda S. Visvesvara, Horst Aspöck, and Norbert Vetter
Author affiliations: Otto Wagner Hospital, Vienna, Austria (A.C. Aichelburg, A. Steuer, N. Vetter, H. Prosch); Medical University of Vienna, Vienna (J. Walochnik, O. Assadian, H. Aspöck); Krankenanstalt Rudolfstiftung, Vienna (G. Perneczky); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (G.S. Visvesvara);

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Figure 2

Axial brain magnetic resonance imaging at the level of the cerebellum performed 6 weeks after initial consultation. A) Contrast-enhanced T1 weighted image showing several ring-enhancing lesions in the right cerebellar hemisphere and the right cerebellar peduncle. B) The corresponding fluid attenuation inversion recovery image illustrates the extensive perifocal edema exerting a severe mass effect through compression and displacement of the fourth ventricle with consecutive enlargement of the lateral ventricle.

Figure 2. Axial brain magnetic resonance imaging at the level of the cerebellum performed 6 weeks after initial consultation. A) Contrast-enhanced T1 weighted image showing several ring-enhancing lesions in the right cerebellar hemisphere and the right cerebellar peduncle. B) The corresponding fluid attenuation inversion recovery image illustrates the extensive perifocal edema exerting a severe mass effect through compression and displacement of the fourth ventricle with consecutive enlargement of the lateral ventricle.

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