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Primary amebic meningoencephalitis (PAM) is a rapidly fatal human dis ease caus(:d by the ameboflagellate Naegleria fowleri. The disease first was detected in man 17 years ago by Fowler & Carter in Australia (56). A year later in 1966 three fatal infections were described from Florida by Butt (10). 101 0066-4227/82/1001-0101$02.00 JOHN The symptomatology of these cases was remarkably similar to that observed in Australia. Although it was not apparent then, the seven cases in Australia and Florida provided almost a complete array of the important clinical and pathological features of the disease. Notable, also, was the indication that infection was acquired by intrana sal instillation during swimming. Butt (10) recognized the discovery of a new disease in Australia and Florida by contributing a new name, primary amebic meningoencephalitis. Naegleria fowleri was named in honor of Dr. Malcom Fowler who first recognized the disease it caused (13) . This has been the only species of Naegleria to be isolated from victims of PAM. Synonyms for N fowleri are N aerobia (114) and N. invades (24) . Nonpathogenic species of Naegleria include N. gruberi (see 58) , possibly the most common ameba in fresh water (101) , N. thorn
Annual Review of Microbiology – Annual Reviews
Published: Oct 1, 1982
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