Miko Shanna, Cope Jennifer R, Hlavsa Michele C, Ali Ibne Karim M, Brown Travis W, Collins Jennifer P, Greeley Rebecca D, Kahler Amy M, Moore Kathleen O, Roundtree Alexis V, Roy Shantanu, Sanders Lacey L, Shah Vaidehi, Stuteville Haylea D, Mattioli Mia C
U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333.
New Jersey Department of Health, P. O. Box 360, Trenton, NJ 08625-0360.
ACS ES T Water. 2023 Mar 15;3(4):1126-1133. doi: 10.1021/acsestwater.2c00592.
is a thermophilic ameba found in freshwater that causes primary amebic meningoencephalitis (PAM) when it enters the nose and migrates to the brain. In September 2018, a 29-year-old man died of PAM after traveling to Texas. We conducted an epidemiologic and environmental investigation to identify the water exposure associated with this PAM case. The patient's most probable water exposure occurred while surfing in an artificial surf venue. The surf venue water was not filtered or recirculated; water disinfection and water quality testing were not documented. and thermophilic amebae were detected in recreational water and sediment samples throughout the facility. Codes and standards for treated recreational water venues open to the public could be developed to address these novel venues. Clinicians and public health officials should also consider novel recreational water venues as a potential exposure for this rare amebic infection.
是一种存在于淡水中的嗜热变形虫，当它进入鼻腔并迁移至大脑时会引发原发性阿米巴脑膜脑炎（PAM）。2018年9月，一名29岁男子在前往得克萨斯州后死于PAM。我们开展了一项流行病学和环境调查，以确定与该PAM病例相关的水接触情况。患者最有可能的水接触发生在人工冲浪场地冲浪时。该冲浪场地的水未经过过滤或循环处理；未记录水消毒和水质检测情况。在整个设施的娱乐用水和沉积物样本中检测到了嗜热变形虫。可以制定面向公众开放的经处理娱乐用水场地的规范和标准，以应对这些新型场地。临床医生和公共卫生官员也应将新型娱乐用水场地视为这种罕见阿米巴感染的潜在暴露源。
