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A 29-year-old Haitian man with acquired immunodeficiency syndrome presented with nasal obstruction and epistaxis. A computed tomogram of the head showed thickened nasal and paranasal sinus mucosa. A biopsy specimen of the turbinate disclosed inflammatory tissue containing amoebic trophozoites. The patient was empirically treated with rifampin and ketoconazole. He died four months after biopsy of other complications of acquired immunodeficiency syndrome. At autopsy, the amoebic infection was found only in the paranasal sinuses, a calf nodule, and in an intradermal abscess in the left leg. Pneumocystitis carinii pneumonia, Mycobacterium avium-cellulare in the liver and retroperitoneal lymph nodes, cytomegalovirus infection of the adrenal glands, and Kaposi's sarcoma in the spleen were additionally present. The organism was cultured and studied by electron microscopy, dark-field microscopy, and immunofluorescence.
M M Gonzalez, and
E Gould, and
G Dickinson, and
A J Martinez, and
G Visvesvara, and
T J Cleary, and
G T Hensley
March 1996,
Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases,
M M Gonzalez, and
E Gould, and
G Dickinson, and
A J Martinez, and
G Visvesvara, and
T J Cleary, and
G T Hensley
January 1983,
Revista paulista de medicina,
M M Gonzalez, and
E Gould, and
G Dickinson, and
A J Martinez, and
G Visvesvara, and
T J Cleary, and
G T Hensley
January 2009,
Medicina (Kaunas, Lithuania),
M M Gonzalez, and
E Gould, and
G Dickinson, and
A J Martinez, and
G Visvesvara, and
T J Cleary, and
G T Hensley
October 1996,
American journal of ophthalmology,
M M Gonzalez, and
E Gould, and
G Dickinson, and
A J Martinez, and
G Visvesvara, and
T J Cleary, and
G T Hensley
January 1988,
Annals of the New York Academy of Sciences,
M M Gonzalez, and
E Gould, and
G Dickinson, and
A J Martinez, and
G Visvesvara, and
T J Cleary, and
G T Hensley
January 1987,
Princess Takamatsu symposia,
M M Gonzalez, and
E Gould, and
G Dickinson, and
A J Martinez, and
G Visvesvara, and
T J Cleary, and
G T Hensley
October 1993,
Archives of pathology & laboratory medicine,
M M Gonzalez, and
E Gould, and
G Dickinson, and
A J Martinez, and
G Visvesvara, and
T J Cleary, and
G T Hensley
November 1987,
The Journal of infection,
M M Gonzalez, and
E Gould, and
G Dickinson, and
A J Martinez, and
G Visvesvara, and
T J Cleary, and
G T Hensley
December 1992,
Archives of pathology & laboratory medicine,
M M Gonzalez, and
E Gould, and
G Dickinson, and
A J Martinez, and
G Visvesvara, and
T J Cleary, and
G T Hensley
June 1990,
Seminars in oncology,
