Abstract
We describe a 66-year-old woman with therapy-refractory cryoglobulinemia treated with rituximab, plasmapheresis, and steroids; a case of fatal meningoencephalitis caused by Acanthamoeba spp. then developed. Such infections are rare and show an unusually rapid course (possibly related to rituximab).
MeSH terms
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Acanthamoeba / genetics
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Acanthamoeba / isolation & purification*
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Aged
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Amebiasis / etiology*
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Animals
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Antibodies, Monoclonal / adverse effects
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Antibodies, Monoclonal / therapeutic use*
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Antibodies, Monoclonal, Murine-Derived
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Brain / parasitology
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Cryoglobulinemia / complications*
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Cryoglobulinemia / therapy*
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DNA, Protozoan / analysis
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DNA, Ribosomal / analysis
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DNA, Ribosomal / genetics
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Electrophoresis, Polyacrylamide Gel
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Fatal Outcome
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Female
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Granuloma / diagnosis
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Granuloma / etiology*
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Granuloma / parasitology
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Humans
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Immunohistochemistry
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Immunologic Factors / adverse effects
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Immunologic Factors / therapeutic use*
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Magnetic Resonance Imaging
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Meningoencephalitis / etiology*
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Meningoencephalitis / parasitology
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Plasmapheresis
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Polymerase Chain Reaction
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Rituximab
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Staining and Labeling
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Steroids / therapeutic use
Substances
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Antibodies, Monoclonal
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Antibodies, Monoclonal, Murine-Derived
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DNA, Protozoan
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DNA, Ribosomal
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Immunologic Factors
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Steroids
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Rituximab