Naegleria fowleri and Acanthamoeba Overview
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Questions and Answers

Where is Naegleria fowleri found most often in nature? Please select the single best answer

  • Warm, fresh water (ponds, lakes, rivers) (correct)
  • Warm salt water
  • The Arctic Ocean
  • All of the above
  • People may become infected with Naegleria fowleri by drinking contaminated water.

    False

    What did Byers base his 1991 classification of the genus Acanthamoeba species on? Please select the single best answer

  • Cyst morphology
  • Trophozoite acanthopodia
  • RNA sequences (correct)
  • Environmental diversity
  • All of the following are free-living amoebae EXCEPT: Please select the single best answer

    <p>Entamoeba polecki</p> Signup and view all the answers

    What is the most common way for humans to acquire a free-living amoeba infection? Please select the single best answer

    <p>Infective cysts or trophozoites in soil or water</p> Signup and view all the answers

    What is the most frequently used method for the diagnosis of primary amoebic meningoencephalitis (PAM)? Please select the single best answer

    <p>Examination of cerebrospinal fluid (CSF)</p> Signup and view all the answers

    The Centers for Disease Control and Prevention (CDC) has published on their website clearly defined methods for the prevention of infections from Balamuthia mandrillaris.

    <p>False</p> Signup and view all the answers

    Which of the following is the pathogenic free-living amoeba with a flagellate state? Please select the single best answer

    <p>Naegleria fowleri</p> Signup and view all the answers

    Which pathogenic free-living amoeba is most commonly isolated from soil, but has also been isolated in both fresh and salt waters? Please select the single best answer

    <p>Balamuthia mandrillaris</p> Signup and view all the answers

    What is the etiologic agent for primary amoebic meningoencephalitis (PAM)? Please select the single best answer

    <p>Naegleria fowleri</p> Signup and view all the answers

    Study Notes

    Naegleria fowleri and Its Habitat

    • Naegleria fowleri thrives in warm fresh waters like ponds, lakes, and rivers, preferring temperatures between 30° C and 46° C.
    • Notable locations include minimally chlorinated swimming pools and geothermally heated water.
    • This amoeba is sensitive to freezing and is not found in saltwater.

    Infection Transmission

    • Drinking contaminated water does not lead to infection due to stomach acids killing the amoebae.
    • Infection occurs primarily through nasal exposure to contaminated water.

    Acanthamoeba Classification

    • Byers classified Acanthamoeba based on RNA sequences, categorizing it into 17 different genotypes (T1-T17).

    Identifying Free-Living Amoebae

    • Entamoeba polecki is not considered a free-living amoeba; it is primarily a parasite of swine and monkeys but can infect humans.

    Routes of Infection

    • The main route for free-living amoeba infection is through infectious cysts or trophozoites found in soil or water, especially during recreational activities.
    • These amoebae do not require an intermediate host, and their flagellate form (e.g., Naegleria) is non-infective.

    Diagnosis of PAM

    • Examination of cerebrospinal fluid (CSF) is the most effective method for diagnosing primary amoebic meningoencephalitis (PAM) and can provide the earliest results.
    • Other methods like indirect immunofluorescence assays (IFA) and PCR are available but not widely accessible.

    Prevention of Balamuthia mandrillaris Infections

    • Currently, there are no clearly defined methods for preventing infections from Balamuthia mandrillaris.

    Flagellate-Free-Living Amoeba

    • Naegleria fowleri is the only pathogenic free-living amoeba that possesses a flagellate stage in its life cycle.

    Balamuthia mandrillaris Characteristics

    • Commonly isolated from soil, Balamuthia mandrillaris has also been found in both fresh and saltwater, posing risks to both immunocompetent and immunocompromised individuals.
    • Unlike Naegleria fowleri and Acanthamoeba, Balamuthia can survive in saltwater.

    Etiologic Agent for PAM

    • Naegleria fowleri is the sole etiologic agent for primary amoebic meningoencephalitis among over 35 identified Naegleria species.

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    Description

    This quiz covers the habitats and infection routes of Naegleria fowleri and Acanthamoeba species. Explore how these free-living amoebae thrive in specific environments and the risks they pose to humans. Understand the classification and identification of these microscopic organisms.

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