Case 125. Acanthamebic meningoencephalitis (60 y-o M)

　 　 　 　
　 Brain biopsy from highly edematous right hemisphere in case of alcoholic liver cirrhosis manifesting left hemiparesis (HIV: negative) 　
　 　 　 　

　

 　 Another view demonstrates a smaller, round-shaped cell with eosinophilic cytoplasm, a round nucleus and wrinkled, double-layered cyst wall (HE, oil immersion). A cyst form of free-living ameba is indicated.