Volume 21, Number 5—May 2015
Letter
Fatal Balamuthia mandrillaris Meningoencephalitis in the Netherlands after Travel to The Gambia
Figure

Figure. Postmortem pathologic findings for woman in the Netherlands who died of Balamuthia mandrillaris meningoencephalitis after returning from travel to The Gambia. A) Macroscopic coronal central section scan showing hemorrhagic necrotizing lesions of the subependymal, meningeal, and parenchymal areas of the parietotemporal lobes (circles and arrows). B) Low-power microscopic scan showing hemorrhagic necrotizing angiitis of the meningeal vessels (arrow) (original magnification ×25). C) Medium-power microscopic scan (original magnification ×200) showing perivascular trophozoite cuffing (arrows) and granulomatous inflammation. D) High-power microscopic scan (original magnification ×630) showing encysted amebae (arrows) and free trophozoites (arrowhead). Hematoxylin and eosin stains.
1These first authors contributed equally to this article.
2These senior authors contributed equally to this article.