BALAMUTHIA INFECTION

Balamuthia infection is a skin ailment caused by Balamuthia that may cause a variety of skin lesions. Balamuthia mandrillaris is a single-celled organism that may be found in the environment. Granulomatous amebic encephalitis (GAE) is a severe and uncommon brain disease that may be caused by this organism.

Balamuthia infections cannot be spread from person to person. Balamuthia is believed to enter the body when soil harboring the pathogen comes into contact with cuts and wounds on the skin or when dust containing the pathogen is inhaled. The amebas can go through the bloodstream to the brain after entering the body, where they can cause GAE.

Before the infection advances to the central nervous system, B. mandrillaris penetrates the skin and results in a skin lesion. The typical location of the classical skin lesion, a symptomless granulomatous plaque (a nodule composed of inflammatory cells), is the middle of the face. The nature of the plaque is frequently described as rubbery. There could be one or several lesions. The lesion may become larger (in some cases covering the entire face), and on occasion, smaller satellite lesions may form. Late-stage ulceration takes place. The lesion might occasionally affect the extremities.

SYMPTOMS

Beginning with a skin wound on the body, Balamuthia infection symptoms might develop. Granulomatous amebic encephalitis is the name of the condition it causes if the infection affects the brain (GAE). Because the symptoms of Balamuthia GAE are not unique to that condition, the diagnosis might be challenging. Initial symptoms could include:

  • Fever
  • Vomiting
  • Headache
  • Seizures
  • Nausea
  • Confusion
  • Lethargy
  • Mental health changes
  • Double vision
  • Weakness
  • Confusion
  • Difficulty walking
  • Neck stiffness 
  • Partial paralysis
  • Difficulty speaking

The illness may first seem mild, but it can worsen in a few weeks. The disease frequently results in death, with a 90% mortality rate. Overall, the prognosis for those who contract this illness is dismal, though chances of survival may be improved by early detection and treatment.

DIAGNOSIS

After physical examination, the doctor will recommend the following tests to diagnose Balamuthia infection

  • Biopsy
  • PCR

TREATMENT

Currently, therapeutic suggestions include the administration of a medication combination. The majority of Balamuthia cases are diagnosed just before or after the patient dies. Because of the delay in diagnosis, clinicians have less expertise in utilizing various medications to treat Balamuthia infection. Current treatment options are based on ameba lab results and the rare examples where patients have survived.

Drugs to treat Balamuthia infection include:

  • Pentamidine
  • Sulfadiazine 
  • Flucytosine 
  • Azithromycin
  • Clarithromycin

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