Successful Treatment of Disseminated Acanthamoeba sp. Infection with Miltefosine
Alexander C. Aichelburg , 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);
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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