Kerala sets benchmark, releases guidelines for managing Amoebic Meningoencephalitis

Health By Sreelakshmi Soman Jul 22, 2024 Read the article

Kerala released comprehensive “Technical Guidelines on Prevention, Diagnosis, and Treatment of Amoebic Meningoencephalitis”.

[{"selector":"#anim-9c5e6882-c452-452f-b647-4dfe84b825e5","keyframes":{"opacity":[0,1]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-d9a52d49-7134-40c1-b95b-c08d7978b9bf","keyframes":{"transform":["translate3d(0px, 42.39646%, 0)","translate3d(0px, 0px, 0)"]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-49dbb892-f073-48d1-b86c-363dd5a4f429","keyframes":{"opacity":[0,1]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-68a18a28-e16d-4eb9-8ccb-5471c668bf28","keyframes":{"transform":["translate3d(0px, 153.89266%, 0)","translate3d(0px, 0px, 0)"]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-576a2e01-56b7-4b81-a23d-28b24f6fcb7a [data-leaf-element=\"true\"]","keyframes":{"transform":["translate3d(6.347655875705972%, 0, 0)","translate3d(0%, 0, 0)"]},"delay":0,"duration":2000,"easing":"cubic-bezier(.3,0,.55,1)","fill":"both"}] Read the article Health

The rare brain infection is caused by a free-living amoeba found in contaminated waters.

[{"selector":"#anim-1eb26f7f-214b-4247-82e8-29931d588b8e","keyframes":{"opacity":[0,1]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-c185b717-7565-4807-ba16-f6017a281a79","keyframes":{"transform":["translate3d(0px, 42.39646%, 0)","translate3d(0px, 0px, 0)"]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-f05741f8-bbe2-4d86-bc3e-a357fbbd9c0c","keyframes":{"opacity":[0,1]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-a79162c0-ec10-4845-8f1c-b7d8aaece612","keyframes":{"transform":["translate3d(0px, 220.47449%, 0)","translate3d(0px, 0px, 0)"]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-73769514-3b6a-420f-b468-e8a3754220a7 [data-leaf-element=\"true\"]","keyframes":{"transform":["translate(0%, 0%) scale(1.5)","translate(0%, 0%) scale(1)"]},"delay":0,"duration":2000,"easing":"cubic-bezier(.3,0,.55,1)","fill":"forwards"}] Read the article Health

Any patient presenting with the symptoms of acute meningitis should be asked about nasal exposure to fresh water in the past 14 days.

[{"selector":"#anim-7773e666-0839-49c1-9b3f-ff3e6d1f0840","keyframes":{"opacity":[0,1]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-f1266ea1-0ba8-49ae-b6d3-8456c56c1014","keyframes":{"transform":["translate3d(0px, 42.39646%, 0)","translate3d(0px, 0px, 0)"]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-1113f398-ceea-43ee-9d78-ef580bcb9ece","keyframes":{"opacity":[0,1]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-a601f2a0-3e08-4778-bf2a-efd182d98459","keyframes":{"transform":["translate3d(0px, 152.53210%, 0)","translate3d(0px, 0px, 0)"]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-8faabfb0-ce59-49fc-be2d-1242681fb560 [data-leaf-element=\"true\"]","keyframes":{"transform":["translate3d(-30.964355356302775%, 0, 0)","translate3d(0%, 0, 0)"]},"delay":0,"duration":2000,"easing":"cubic-bezier(.3,0,.55,1)","fill":"both"}] Read the article Health

For patients with a recent history of nasal exposure to fresh water, Cerebrospinal Fluid (CSF) specimen should be rapidly tested for N. fowleri/FLA.

[{"selector":"#anim-59890259-6d7e-4484-a3a4-cf273fadc97a","keyframes":{"opacity":[0,1]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-5ad46452-9dc7-4920-8976-805e2a652355","keyframes":{"transform":["translate3d(0px, 42.39646%, 0)","translate3d(0px, 0px, 0)"]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-51104833-4fd4-4c71-bb9b-1b0ada278ad3","keyframes":{"opacity":[0,1]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-d311a898-01d4-4af4-9d1f-70be689d929a","keyframes":{"transform":["translate3d(0px, 133.45887%, 0)","translate3d(0px, 0px, 0)"]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-a83c88e6-71b8-45ef-baa7-0ff504f9880d [data-leaf-element=\"true\"]","keyframes":{"transform":["translate(1.8855221217190383%, 0%) scale(1.5)","translate(0%, 0%) scale(1)"]},"delay":0,"duration":2000,"easing":"cubic-bezier(.3,0,.55,1)","fill":"forwards"}] Read the article Health

In cases where bacterial meningitis patients do not respond to antibiotics or deteriorate rapidly, Primary Amoebic Meningoencephalitis (PAM) should be considered.

[{"selector":"#anim-fe88bf8b-74c6-4bb2-9eaf-fe0b323399af","keyframes":{"opacity":[0,1]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-dbf391c1-4c89-4395-b0bb-b96f5894a683","keyframes":{"transform":["translate3d(0px, 42.39646%, 0)","translate3d(0px, 0px, 0)"]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-4179962b-1557-43a0-9a74-cd88ce54de11","keyframes":{"opacity":[0,1]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-533db3cc-c19e-48d5-bd60-8b5fe5b3ab20","keyframes":{"transform":["translate3d(0px, 133.45887%, 0)","translate3d(0px, 0px, 0)"]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-a0d23164-6e6e-416e-8bee-d88ed17c7347 [data-leaf-element=\"true\"]","keyframes":{"transform":["translate3d(37.49999994726088%, 0, 0)","translate3d(0%, 0, 0)"]},"delay":0,"duration":2000,"easing":"cubic-bezier(.3,0,.55,1)","fill":"both"}] Read the article Health

Wet mount examination of all turbid or opalescent CSF samples is mandatory as it helps in the early detection of PAM.

[{"selector":"#anim-c8db0aa4-b54a-4ed2-927e-d202810e83f9","keyframes":{"opacity":[0,1]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-e1f885d4-2ae3-4306-8fe9-e04c59c3f3b8","keyframes":{"transform":["translate3d(0px, 42.39646%, 0)","translate3d(0px, 0px, 0)"]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-e55bdac1-6678-4a4b-bc60-949faf90196c","keyframes":{"opacity":[0,1]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-fa10497a-a093-4aec-ad2b-b4665266bf86","keyframes":{"transform":["translate3d(0px, 154.57293%, 0)","translate3d(0px, 0px, 0)"]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-63d8110e-e0b6-4bc7-94ea-64a4a38532e4 [data-leaf-element=\"true\"]","keyframes":{"transform":["translate3d(31.249999886225726%, 0, 0)","translate3d(0%, 0, 0)"]},"delay":0,"duration":2000,"easing":"cubic-bezier(.3,0,.55,1)","fill":"both"}] Read the article Health

Confirmed PAM cases must be reported to the District Surveillance Officer (DSO), with CSF samples sent for PCR and genome sequencing if necessary.

[{"selector":"#anim-0a13d773-bd79-47eb-aad3-f2c7ca4ae1dc","keyframes":{"opacity":[0,1]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-8644d590-b8f0-494d-be22-77019b8020cd","keyframes":{"transform":["translate3d(0px, 42.39646%, 0)","translate3d(0px, 0px, 0)"]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-56f0217f-0e2c-4e18-bf6c-3e063df95a09","keyframes":{"opacity":[0,1]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-cc9caf0d-14d8-41ea-88a4-99edf0829482","keyframes":{"transform":["translate3d(0px, 133.45887%, 0)","translate3d(0px, 0px, 0)"]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-6fec376e-5c96-49ef-8dad-6153335800ec [data-leaf-element=\"true\"]","keyframes":{"transform":["translate(0%, 0%) scale(1.5)","translate(0%, 0%) scale(1)"]},"delay":0,"duration":2000,"easing":"cubic-bezier(.3,0,.55,1)","fill":"forwards"}] Read the article Health

Treatment of PAM should involve a multi-disciplinary team, including Physicians, Pediatricians, Intensivists, Infectious Disease Specialists, Neurologists, and Microbiologists.

[{"selector":"#anim-70eb75f9-c106-4880-8080-d277bccece52","keyframes":{"opacity":[0,1]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-71d157d0-55f2-45b8-84dc-5ba2262cb52b","keyframes":{"transform":["translate3d(0px, 42.39646%, 0)","translate3d(0px, 0px, 0)"]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-9c1bf973-29be-4d7c-8aa0-65f7d41e513f","keyframes":{"opacity":[0,1]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-a616e2a8-57d1-4f29-bd82-bc62e42afe43","keyframes":{"transform":["translate3d(0px, 120.26703%, 0)","translate3d(0px, 0px, 0)"]},"delay":0,"duration":600,"easing":"cubic-bezier(0.2, 0.6, 0.0, 1)","fill":"both"}] [{"selector":"#anim-22353973-a1aa-46dc-80cc-a80cc46a36c6 [data-leaf-element=\"true\"]","keyframes":{"transform":["translate3d(52.73437509603408%, 0, 0)","translate3d(0%, 0, 0)"]},"delay":0,"duration":2000,"easing":"cubic-bezier(.3,0,.55,1)","fill":"both"}] Read the article Health