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THE OSTIA VENAE HEPATICAE AND THE RETHROHEPATIC ...

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ULTRASTRUCTURE OF PATHOGENIC NAEGLERIA SP. ISOLATED FROM<br />

THREE CASES OF PRIMARY AMOEBIC MENINGOENCEPHALITIS<br />

INFECTION FROM THAI PATIENTS<br />

(362)<br />

Mangkalanond K, Tiewchaloren S, Junnu V, Pattavum A.<br />

Department of Pathology, Faculty of Medicine Siriraj Hospital, 1 Department of Parasitology,<br />

Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Department of Nursing, Faculty of<br />

Medicine Siriraj Hospital, Mahidol University.<br />

Key words : ultrastructure pathogenic Naegleria sp. strain<br />

The proliferative form of Naegleria sp. isolated from three fetal Thai patients were<br />

studied. The showed no differentiation from the pathogenic Naegleria fowleria reference strain. In<br />

light microscope, the amoebae were active, progressive and had directional movement. They were<br />

variable in sized and shape, the round amoebae were measuring about 8 to 30 mm. in diameter. The blunt<br />

psuedopadia were protruded on the surface of the cell. In iron hematexyline stain, the cytoplasm appears<br />

finely granular nucleolus giving it the appearance of a halo. Contractile and food vacuoles were demonstrated.<br />

The ultrastructure of the pathogenic Neagleria sp. were not distinguished from that of the<br />

control. Scanning electron microscope showed irregular outer surface was and points of contact between<br />

them were conspicuous. Sucker-like structure on amoebostomes were found in either group.<br />

Transmission electron microscope demonstrated that the surrounding unit membrane was composed of<br />

two electron-dense layers. Rough endoplasmic reticulum appear as elongated tubular vesicle covered<br />

with ribosomes. Dumb-bell-shape mitochondria was bound by two membranes separated by a clear<br />

space. Both, cup-shaped and oval-mitochondria were also found. The vacuoles were bound by unit<br />

membrane and contained electron-dense materials surrounded by whorl-like formations. The nuclear<br />

membrane was bounded by two clearly visible electron dense layers that were seperated by a clear<br />

space. A few pores could be seen within the nuclear envelope. Nucleolus at the central portion of the<br />

nucleus appears dens. In conclusion, the results showed remarkable similarities between the pathogenic<br />

Naegleria sp. and the control. Therefore, these pathogenic Naeglerias isolated from fatal cases of<br />

amoebic meningoencephalites were considered as Naegleria fowleri.<br />

(Mahidol J 1999; 6: 85-88.)<br />

267

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