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Killer amoebas

Primary amoebic meningoencephalitis in a changing climate

Cooper, Amanda Marie, PA-C; Aouthmany, Shaza, MD; Shah, Kruti, MD; Rega, Paul P., MD, FACEP

Journal of the American Academy of PAs: June 2019 - Volume 32 - Issue 6 - p 30–35
doi: 10.1097/01.JAA.0000558238.99250.4a
Review Article

ABSTRACT Primary amoebic meningoencephalitis (PAM) caused by Naegleria fowleri is a rare and deadly disease that requires prompt treatment with multiple therapies. Although N. fowleri previously was only found in warmer areas, climate change appears to be contributing to its geographic spread. Clinicians should consider PAM when faced with a patient with meningitis, especially if the patient participates in outdoor water activities or practices nasal rinsing.

At the University of Toledo (Ohio) Medical Center, Amanda Marie Cooper is a physician assistant, Shaza Aouthmany is an associate program director, and Kruti Shah is a medical resident. Paul P. Rega is an assistant professor in the University of Toledo's School of Population Health. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Copyright © 2019 American Academy of Physician Assistants
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