1. Volume 135, Issue 1, Pages 225-227 (January 2009)
A 22-Year-Old Man With Headache and Stiff Neck After a Water Skiing Fall 
Kristie Jones, MD, Ekachai Singhatiraj, MD, Rebecca MacDougall, MD, Thomas R. Beaver, MD, Kenneth Nugent, MD, FCCP 
CHEST 
Volume 135, Issue 1, Pages (January 2009)
DOI: /chest
Copyright © 2009 The American College of Chest Physicians Terms and Conditions

2. Figure 1
Wright-Giemsa-stained cytospin of CSF (original × 400) reveals copious neutrophils (white arrow), lymphocytes (small arrow), and occasional amoeboid structures (large arrow). Note the numerous cytoplasmic vacuoles, pale staining nuclei (asterisk) with prominent karyosome.
CHEST  , DOI: ( /chest )
Copyright © 2009 The American College of Chest Physicians Terms and Conditions

3. Figure 2
Top left, A: Periventricular white matter (hematoxylin-eosin, original × 100). Top right, B: Higher power (original × 1,000) showing amoeba [arrows] associated with edema as well as neuropil destruction. The trophozoite is 20 to 30 microns in size with a large nucleus and a centrally placed karyosome and surrounding halo. Bottom left, C: Brain tissue with positive immunofluorescent staining for anti-N fowleri serum (original × 100). Bottom right, D: Higher power (original × 1,000) showing strongly positive immunofluorescent staining with N fowleri antiserum.
CHEST  , DOI: ( /chest )
Copyright © 2009 The American College of Chest Physicians Terms and Conditions