Notes from the Field: Primary Amebic Meningoencephalitis Associated with Exposure to Swimming Pool Water Supplied by an Overland Pipe — Inyo County, California, 2015
| Autor: | Marvin Moskowitz, Louis Molina, Amy M. Kahler, Vincent R. Hill, Michael J. Beach, Kaleigh Behrendt, Richard O Johnson, Jennifer R. Cope, Kathleen E. Fullerton |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Pathology medicine.medical_specialty Health (social science) Photophobia Epidemiology Nausea Health Toxicology and Mutagenesis Physiology Central Nervous System Protozoal Infections California Young Adult 03 medical and health sciences Swimming Pools Cerebrospinal fluid Health Information Management Water Supply medicine Humans Naegleria fowleri biology business.industry Meninges Environmental Exposure General Medicine biology.organism_classification medicine.disease 030104 developmental biology medicine.anatomical_structure Etiology Vomiting Female medicine.symptom business Meningitis |
| Zdroj: | MMWR. Morbidity and Mortality Weekly Report. 65:424 |
| ISSN: | 1545-861X 0149-2195 |
| DOI: | 10.15585/mmwr.mm6516a4 |
| Popis: | On June 17, 2015, a previously healthy woman aged 21 years went to an emergency department after onset of headache, nausea, and vomiting during the preceding 24 hours. Upon evaluation, she was vomiting profusely and had photophobia and nuchal rigidity. Analysis of cerebrospinal fluid was consistent with meningitis.* She was empirically treated for bacterial and viral meningoencephalitis. Her condition continued to decline, and she was transferred to a higher level of care in another facility on June 19, but died shortly thereafter. Cultures of cerebrospinal fluid and multiple blood specimens were negative, and tests for West Nile, herpes simplex, and influenza viruses were negative. No organisms were seen in the cerebrospinal fluid; however, real-time polymerase chain reaction testing by CDC was positive for Naegleria fowleri, a free-living thermophilic ameba found in warm freshwater that causes primary amebic meningoencephalitis, an almost universally fatal infection. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|