Abstract
Naegleria fowleri is a free-living ameba that causes primary amebic meningoencephalitis (PAM), a rare but usually fatal disease. We analyzed trends in recreational water exposures associated with PAM cases reported during 1978–2018 in the United States. Although PAM incidence remained stable, the geographic range of exposure locations expanded northward.
Highlights
Naegleria fowleri is a free-living ameba that causes primary amebic meningoencephalitis (PAM), a rare but usually fatal disease
Primary amebic meningoencephalitis (PAM) is a rare but usually fatal brain infection caused by Naegleria fowleri, a free-living ameba found in soil and warm freshwater [1,2]
N. fowleri is frequently detected in warm freshwater [3,4,5,6];
Summary
Naegleria fowleri is a free-living ameba that causes primary amebic meningoencephalitis (PAM), a rare but usually fatal disease. N. fowleri is frequently detected in warm freshwater [3,4,5,6];
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