It was an operation on the brain like no other for Dr. Charles Cobbs.
"This is something that I never really had not seen … pathologists could not determine what it was because the fabric has been largely destroyed," said Cobbs, a neurosurgeon at the Swedish Medical Center in Seattle.
Cobbs was working on a patient in January last year because he thought it was a brain tumor. When he opened it, the damage was such suras & # 39; oznaya, he sent part of it off for testing.
Were rare amoeba ate her alive.
Cobbs thinks this is the patient's use a neti pot, a teapot shaped products used to relieve sinus, shooting water up to the nasal cavity, which put an amoeba in her brain. He says that it is used tap water, as opposed to the proposed boiled water or saline.
The patient had a rare brain infection called Balamuthia mandrillaris. It is free to live amoeba found in soil and fresh water, and generally does not cause any harm to humans.
Dr. Cobbs wrote about the case for the last edition of the International Journal of Infectious Diseases.
The publication does not identify the patient.
The report said rare amoeba was found in 1986 in a brain autopsy Mandrill monkey at San Diego and the new species was announced in 1993.
He also said that was only about 200 cases of human infection recorded worldwide, and at least 70 in the US mortality rate for Balamuthia about 100 percent infection.
"If you're right … injected (it) in the nasal passages, if there is enough of it, he can, you know, to establish an infection," explained Cobbs.
"I suspect that it was in her nasal passages and skin of the nose, and, after a while, enough of it has been around, he got into the blood, and probably go to the brain."
According to this document, the infection for the first time & # 39 appeared as skin lesions on the nose women. Doctors treated her for about a year, as if it was a common skin condition, rosacea.
Cobbs says rare amoeba with her condition is difficult to diagnose quickly. In the end, the patient suffered a stroke, and then the doctors did CT. At this point, they diagnosed her with a brain tumor.
It was not until she had surgery not that they were diagnosed with the infection. Despite the removal of the damaged part of the amoeba, the patient died within a month of diagnosis.
Nasal rinsing warning
Cobbs encourages those who use nasal rinse to wash the containers properly.
"I suspect that it was probably a container that is sitting around … amoeba can set up shop there and then tap water was probably sitting around and maybe he just grew up in it," he said.
He says that neti pots & # 39 are a good way for those who have problems with sinus or flu, to get relief when used properly.