Infectious Diseases and Microbiology - Primary Meningoencephalitis Amebic (Naegleria fowleri)1/24/2024 Infectious Diseases and Microbiology - Primary Meningoencephalitis Amebic (Naegleria fowleri) Physical: An opportunistic, free-living soil ameba. By swimming in tainted warm fresh water, trophozoite infection is the mode of transmission to people. An opportunistic, highly lethal meningoencephalitis caused by clinical N fowleri is marked by a fast-acting fever, stiff neck, headache, disorientation, vomiting, and changes in taste and smell perceptions. Rapid progression results in a coma and death in 4-6 days. Trophozoites penetrate the nasal mucosa and use the crebriform plate to access the central nervous system. Cerebrospinal fluid examined under a microscope reveals neutrophils, erythrocytes, and trophozoites. On a lawn of gram-negative rods, which are their food source, amebae can be cultivated. Few people survive this sickness, which is extremely deadly. There has been some success with amphotericin B treatment in conjunction with rifampin and micoazole.
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