Amebic Osteomyelitis in a Child with Acquired Immunodeficiency Syndrome: A Case Report

Dena M. Selby Department of Pathology, Children's National Medical Center, Washington, DC, USACorrespondence[email protected]

Roma S. Chandra Department of Pathology, Children's National Medical Center, Washington, DC, USA

Tamara A. Rakusan Department of Special Immunology, Children's National Medical Center, Washington, DC, USA

Brett Loechelt Department of Special Immunology, Children's National Medical Center, Washington, DC, USA

Bruce M. Markle Department of Diagnostic Imaging and Radiology, Children's National Medical Center, Washington, DC, USA

Govinda S. Visvesvara Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Abstract

Disseminated Acanthamoeba infection has been described in immunocompromised or debilitated patients. The usual sites of involvement are skin, sinus, and brain. Sporadic reports of Acanthamoeba infection in patients infected with the human immunodeficiency virus are present in recent literature, predominantly in adults, and one case involving an 8-year-old child. We describe a case of amebic osteomyelitis, seen in a 6-year-old child with vertically acquired human immunodeficiency virus and a 6-month history of cutaneous Acanthamoeba infection.

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Amebic Osteomyelitis in a Child with Acquired Immunodeficiency Syndrome: A Case Report

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