Naegleria Fowleri, The Brain Eating Amoeba

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Organism
Naegleria fowleri, the brain eating amoeba, exists around the world; reservoirs of N fowleri include sediments of lakes, rivers, geothermal water, soil, and poorly kept swimming pools. These microbes can live in temperatures up to 45 degree Celsius and do not require a host cell for survival. The free-living amoeba is the etiological source of primary amoebic meningeocephalitis (PAM), an acute and fatal disease of the central nervous system with fatality rates over 99%. Onset of illness is quick and death typically occurs within 7-14 days. Treatment for PAM poses a challenge because of rapid disease progression and limited awareness among clinicians. According to the CDC, there are more than 30 species of Naegleria that exist, however, N fowleri is exclusively the species recognized to be pathogenic in humans. When conditions are favorable, this free-living amoeba can survive outside of the host cell.
Characteristics and Morphology
Amoebae of the genus Naegleria are identified in part by their ability to create a temporary flagellate phase once exposed to nutritional scarcity. N fowleri is confirmed to be a typical eukaryotic protist by electron microscopy examination (Patterson et al., 1981).
N fowleri has three stages of their cycle. In the amoeboid trophozoite stage, they are infectious and measure 10-35 µm long. The trophozoite transforms to a non-feeding flagellate when food sources are limited. Flagellates are motile and measure 10-20 µm in length. The amoeba or flagellate will form a cyst, the dormant stage, if the environment is too cold and not conducive to continued feeding and growth. When the organism is in the cyst stage, it has a single layered wall and only one nucleus. The cyst measures 7-1...

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...here are no extensive efforts in prevention of N fowleri currently because of the low reported occurrences. However, because of the high fatality rate among patients that are diagnosed with PAM, there is a determination in research to develop new diagnostics and treatment therapy.
Prevention
It is essential the public to be educated regarding PAM disease. Most cases involve children and adolescents that have participated in water recreational activities. Though extremely rare, people that use sinus rinses have been diagnosed with N fowleri PAM. People who practice nasal rinsing are recommended using distilled water.
Unique Fact: Humans cannot contract the amoeba from another person or by drinking contaminated water. The amoeba enters your body through your nose, by contaminated water and voyages to the brain through the nerves that transmit the sense of smell.

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