This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Misc., Subject name: Microbiology
Granulomatous amoebic encephalitis is caused by 
Select and explain. 
A. Balamuthia mandrillaris, B. Naegleria fowleri, C. Entamoeba histolytica, D. Entamoeba coli
A: Balamuthia mandrillaris
Answer: A: Balamuthia mandrillaris 
Explanation: (A) Balamuthia mandrillaris# Granulomatous amoebic encephalitis is a central nervous system disease caused by certain species of amoeba, especially Balamuthia mandrillaris.> GAE may present in numerous ways. GAE. GAE can present with: focal paralysis, seizures, brainstem symptoms, and other neurological problems, some of which may mimic glioma (especially brainstem glioma), or other brain diseases, which may hamper timely diagnosis. These symptoms are caused by inflammatory necrosis of brain tissue brought on by amoebic infiltrates.