Document Detail

Primary amoebic meningoencephalitis after swimming in the Rio Grande.
MedLine Citation:
PMID:  8923775     Owner:  NLM     Status:  MEDLINE    
We report a case of fatal primary amoebic meningoencephalitis (PAM) with Naegleria fowleri in a 13-year-old male, and review the clinical course and diagnostic autopsy findings. The boy developed the infection after swimming with relatives in the Rio Grande and in a holding tank containing water pumped from the river. The clinical and neuropathologic features of PAM are presented. The microscopic features of motile unicellular organisms with pathognomonic broad, lobate pseudopodia are diagnostic and, if recognized before death, allow for timely treatment. A public health investigation into this case implicated river water from the Rio Grande polluted with sewage as the infection source. Exposure to polluted river water from some areas of the Rio Grande may represent a risk factor for infection with Naegleria fowerli, because the high levels of coliform bacteria found in sewage and the warm, sluggish water of the river are favorable growth conditions for the amoebae. Because the Rio Grande is an international border, this case illustrates the importance of international cooperation in pollution control in the prevention of a potentially fatal infectious disease.
T S DeNapoli; J Y Rutman; J R Robinson; M M Rhodes
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas medicine     Volume:  92     ISSN:  0040-4470     ISO Abbreviation:  Tex Med     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1996-12-23     Completed Date:  1996-12-23     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0051012     Medline TA:  Tex Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  59-63     Citation Subset:  IM    
Santa Rosa Children's Hospital, San Antonio, TX 78207-3198, USA.
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MeSH Terms
Amebiasis / epidemiology,  transmission*
Fatal Outcome
Meningoencephalitis / epidemiology,  parasitology*
Naegleria fowleri*
Texas / epidemiology
Water / parasitology*
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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