{Reference Type}: Case Reports
{Title}: A primary amoebic meningoencephalitis case associated with swimming in seawater.
{Author}: Wang F;Shen F;Dai W;Zhao J;Chen X;Liu J;
{Journal}: Parasitol Res
{Volume}: 122
{Issue}: 10
{Year}: 2023 Oct 9
{Factor}: 2.383
{DOI}: 10.1007/s00436-023-07934-z
{Abstract}: 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.