Acanthamoeba-Induced LETM Mimicking NMOSD: A Rare Case Scenario

  1. Remya Prakash
  2. Aravind Reghukumar
  3. Rammohan K
  4. Jaichand Johnson
  5. Swapna R.Nath
  6. Saritha Narayanankutty
  7. Chithra Latha Raveendran
  8. Jyothy Rajahamsan
  9. Sharmad M.S.
  10. Anil Sathyadas
  11. Anoop P
  12. Deepthi Somarajan
  13. Fida Ali
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Abstract

We report a unique case of Acanthamoeba -induced longitudinally extensive transverse myelitis in a pregnant woman without classical epidemiologic risk factors. Cerebrospinal fluid (CSF) wet-mount microscopy and DNA PCR confirmed Acanthamoeba spp. Coinfections with Aspergillus spp. and tuberculous meningitis were also identified, highlighting the 'Trojan horse’ phenomenon.

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  1. Version published to 10.21203/rs.3.rs-8385294/v1 on Research Square