Evidence map›Paper›PMID 34461057›Full record

ReviewThe Lancet. Infectious diseases2022

Acanthamoeba castellanii encephalitis in a patient with AIDS: a case report and literature review.

Gregory L Damhorst, Abigail Watts, Alfonso Hernandez-Romieu, Nonglin Mel, Melody Palmore, Ibne Karim M Ali, Stewart G Neill, Aley Kalapila, Jennifer R Cope

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review in The Lancet. Infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
5.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. Fatal Donor-Derived DisseminatedOpen forum infectious diseases · 2026
    Article
  7. Article
  8. Article
  9. Journal of medical microbiology · 2025
    Review
  10. Molecular Mechanisms ofJournal of proteome research · 2025
    Article
  11. Article
  12. Microorganisms · 2024
    Article
  13. Microorganisms · 2024
    Article
  14. Article
  15. Non-granulomatous meningoencephalitis withSurgical neurology international · 2024
    Article
  16. Article
  17. Article
  18. DisseminatedFrontiers in medicine · 2024
    Article
  19. Article
  20. Endophthalmitis, Cutaneous Nodules, and Brain Lesions in Stem Cell Transplant Recipient.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Gregory L DamhorstDivision of Infectious Diseases, Department of Medicine, Emory University, Atlanta, GA, USA. Electronic address: gregory.damhorst@emory.edu.
Abigail WattsDivision of Pulmonary Critical Care & Sleep Medicine and Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Alfonso Hernandez-RomieuDivision of Infectious Diseases, Department of Medicine, Emory University, Atlanta, GA, USA.
Nonglin MelFamily Medicine, Broward Health, Fort Lauderdale, FL, USA.
Melody PalmoreDivision of Infectious Diseases, Department of Medicine, Emory University, Atlanta, GA, USA.
Ibne Karim M AliFree-Living and Intestinal Amebas (FLIA) Laboratory, Waterborne Disease Prevention Branch, Division of Foodborne, Waterborne and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Stewart G NeillDepartment of Pathology & Laboratory Medicine, Emory University, Atlanta, GA, USA.
Aley KalapilaDivision of Infectious Diseases, Department of Medicine, Emory University, Atlanta, GA, USA.
Jennifer R CopeDomestic Water, Sanitation, and Hygiene Epidemiology Team, Waterborne Disease Prevention Branch, Division of Foodborne, Waterborne and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Emory University · USNational Center for Emerging and Zoonotic Infectious Diseases · USBroward Health · USThe University of Texas Medical Branch at Galveston · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Amoebic encephalitis is a rare cause of CNS infection for which mortality exceeds 90%. We present the case of a 27-year-old man with AIDS who presented to a hospital in Atlanta (Georgia, USA) with tonic-clonic seizures and headache. His clinical condition deteriorated over several days. Brain biopsy revealed lymphohistiocytic inflammation and necrosis with trophozoites and encysted forms of amoebae. Immunohistochemical and PCR testing confirmed Acanthamoeba castellanii encephalitis, typically described as granulomatous amoebic encephalitis (GAE). No proven therapy for GAE is available, although both surgical and multiagent antimicrobial treatment strategies are often used. Most recently, these include the antileishmanial agent miltefosine. Here we review all cases of GAE due to Acanthamoeba spp in people with HIV/AIDS identified in the literature and reported to the Centers for Disease Control and Prevention. We describe this case as a reminder to the clinician to consider protozoal infections, especially free-living amoeba, in the immunocompromised host with a CNS infection refractory to traditional antimicrobial therapy.

Indexed as

Acanthamoeba castellaniiAcquired Immunodeficiency SyndromeAmebiasisAntiprotozoal AgentsEncephalitisAdultGranulomaHumansMaleAntiprotozoal Agents

Identifiers

PMID34461057
PMCPMC10910629
OpenAlexW3196814279

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.