Naegleria fowleri infection
Relevance: 'Brain-eating amoeba' naegleria fowleri kills South Korea man - The Hindustan Times
Naegleria is a free-living ameba (a single-celled living organism). It is so small that it can only be seen with a microscope. It is commonly found in warm fresh water (such as lakes, rivers, and hot springs) and soil. Only one species of Naegleria infects people: Naegleria fowleri.
Naegleria fowleri infects people when water containing the ameba enters the body through the nose. This typically happens when people go swimming, diving, or when they put their heads under fresh water, like in lakes and rivers. The ameba then travels up the nose to the brain, where it destroys the brain tissue and causes a devastating infection called primary amebic meningoencephalitis (PAM). PAM is almost always fatal.
Naegleria fowleri infections may also happen when people use contaminated tap water to cleanse their noses during religious practices or rinse their sinuses (sending water up the nose).
In very rare instances, people have gotten Naegleria fowleri infections from recreational water that didn’t have enough chlorine in it, such as pools, splash pads, or surf parks.
There is no evidence that Naegleria fowleri can spread through water vapor or aerosol droplets (such as shower mist or vapor from a humidifier).
People cannot be infected with Naegleria fowleri by drinking contaminated water.
Naegleria fowleri causes PAM, a brain infection that destroys brain tissue. In its early stages, symptoms of PAM may be similar to symptoms of bacterial meningitis.
The first symptoms of PAM usually start about 5 days after infection, but they can start within 1 to 12 days. Symptoms may include headache, fever, nausea, or vomiting. Later symptoms can include stiff neck, confusion, lack of attention to people and surroundings, seizures, hallucinations, and coma. After symptoms start, the disease progresses rapidly and usually causes death within about 5 days (but death can happen within 1 to 18 days).
Because PAM is so rare, and because the infection progresses so quickly, effective treatments have been challenging to identify. There is some evidence that certain drugs may be effective, but we are still learning about the best drugs to treat these infections. Currently, PAM is treated with a combination of drugs, often including amphotericin B, azithromycin, fluconazole, rifampin, miltefosine, and dexamethasone. These drugs are used because they are thought to be effective against Naegleria fowleri and have been used to treat patients who survived. Miltefosine is the newest of these drugs. It has been shown to kill Naegleria fowleri in the laboratory and has been used to treat three survivors.
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