Snapshot A 56-year-old nurse is brought to the emergency room for altered mental status. She spent a year in West Africa volunteering at a hospital. She returned to the US about 4 weeks ago. At that time, she had intermittent fevers with general malaise and a transient urticarial rash and noted a bug bite on her right forearm. She was then treated for malaria, though diagnostic testing was equivocal. In the past week, she became increasingly somnolent during the day. She also lost 15 lbs within the past 2 weeks. A lumbar puncture is done and diagnostic studies are sent. Meanwhile, she is started on empiric therapy. (African sleeping syndrome caused by Trypanosoma brucei) Introduction Protozoa login to view 1 more bullet Infections of Protozoa Central Nervous System Gastrointestinal Visceral Infections Hematologic Infections Sexually Transmitted Diseases Toxoplasma gondii Naegleria fowleri Trypanosoma brucei Acanthamoeba Giardia lamblia Entamoeba histolytica Cryptosporidium Trypanosoma cruzi Leishmania donovani Plasmodium Babesia Trichomonas vaginalis Toxoplasma gondii Introduction login to view 17 more bullets Presentation login to view 5 more bullets Imaging and studies login to view 4 more bullets Treatment login to view 2 more bullets Naegleria fowleri Introduction login to view 8 more bullets Presentation login to view 5 more bullets Imaging and studies login to view 6 more bullets Treatment login to view 1 more bullet Trypanosoma brucei Introduction login to view 7 more bullets Presentation login to view 10 more bullets Imaging and studies login to view 8 more bullets Treatment login to view 4 more bullets Acanthamoeba Introduction login to view 11 more bullets Presentation login to view 5 more bullets Imaging and studies login to view 7 more bullets Treatment login to view 2 more bullets Complications login to view 1 more bullet