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#idboardreview 2 kidney transplant recipients post day 20 present w/ altered mental status, neutrophilic pleocytosis, MRI ring enhancing lesion. No improvement on abx & antivirals. Same donor died w/ dx of ADEM/exposure to wading pool. Diagnosis? #medEd #idmesEd #idtwitter 
#Balamuthia mandrillaris cdc.gov/mmwr/preview/m…
#Balamuthia amebas can infect skin, brain & other organs of the body. Can begin with skin wound on face, trunk, or limbs & progress to granulomatous amebic encephalitis (GAE).
Diagnosis of Balamuthia GAE can be difficult because symptoms are not specific to GAE
Diagnosis of Balamuthia GAE can be difficult because symptoms are not specific to GAE
