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 Naegleria fowleri

Naegleria fowleri, trophozoites, tissue

Shown are hematoxylin and eosin-stained tissue sections from a case of fatal primary meningoencephalitis due to Naegleria fowleri. Small trophozoites of N. fowleri are seen invading into brain tissue. The trophozoites have abundant cytoplasm and a small round-to-oval nucleus with a large blot-like karyosome (which is difficult to see in histologic sections).

Naegleria fowleri, trophozoites, cerebrospinal fluid

Shown are trophozoites of Naegleria fowleri in a Giemsa-stained cytospin preparation of cerebrospinal fluid. This is a critical result that should be reported to the clinical team immediately, since N. fowleri causes a rapidly-fatal meningoencephalitis. The trophozoites have abundant bubbly cytoplasm and a small round-to-oval nucleus with a large blot-like karyosome.

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