%0 Case Reports
%T A primary amoebic meningoencephalitis case associated with swimming in seawater.
%A Wang F
%A Shen F
%A Dai W
%A Zhao J
%A Chen X
%A Liu J
%J Parasitol Res
%V 122
%N 10
%D 2023 Oct 9
%M 37555856
%F 2.383
%R 10.1007/s00436-023-07934-z
%X This case report describes a 62-year-old male fisherman who presented with persistent vomiting, headache, and behavior changes. Despite initial antibiotic and corticosteroid treatment, his condition worsened, leading to coma and subsequent death. Macro-genome sequencing of cerebrospinal fluid (CSF) revealed the presence of Naegleria fowleri infection, which had been missed during initial laboratory tests. The patient's exposure history included sea-swimming near Zhoushan Island.