Primary amoebic meningoencephalitis caused by Naegleria fowleri: an old enemy presenting new challenges

Ruqaiyyah Siddiqui1, Naveed Ahmed Khan1

  • 1Department of Biological and Biomedical Sciences, Aga Khan University, Karachi, Pakistan.

Insights

Naegleria fowleri causes primary amoebic meningoencephalitis with a >95% fatality rate. Increased awareness of risk factors, especially in developing nations, is crucial due to cultural practices and water storage.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Environmental Health

Background:

  • Naegleria fowleri, a protist pathogen, causes primary amoebic meningoencephalitis (PAM).
  • PAM has a high fatality rate (>95%) despite medical advancements.
  • Cases are reported globally but underdiagnosed in developing countries.

Purpose of the Study:

  • To highlight the underdiagnosis of Naegleria fowleri infections in developing countries.
  • To discuss risk factors associated with PAM in these regions.
  • To advocate for increased public awareness of PAM.

Main Methods:

  • Literature review and case analysis.
  • Epidemiological data assessment.
  • Risk factor identification through cultural practice analysis.

Main Results:

  • Naegleria fowleri infections are underreported in developing nations.
  • Cultural practices like ritual ablution and nasal irrigation are potential transmission routes.
  • Water scarcity and storage increase exposure risks.

Conclusions:

  • There is a critical need for enhanced awareness of PAM and its risk factors in developing countries.
  • Public health initiatives should address cultural practices and water safety.
  • Further research is needed to understand the epidemiology in underreported regions.

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