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Woman dies from rare brain-eating amoeba

Woman dies from rare brain-eating amoeba

2023-08-10

A Taiwanese woman has died of a rare brain infection caused by the Naegleria fowleri, commonly known as the brain-eating amoeba. The woman, who was in her 30s, had visited an indoor water park in New Taipei. According to tests at the park, the pool water’s chlorine concentration did not reach standards recommended by the Ministry of Health and Welfare. The park could face fines of up to NT$1.5 million, if the amoeba is found in samples collected.

Yang Shih-hao
New Taipei department of health
We carried out tests on the water’s chlorine content and we found it was insufficient. Whether that led to the presence of the amoeba remains to be clarified by an investigation led by the central government.

Lee Ping-ying
NTU Children’s Hospital
The amoeba can enter the respiratory tract from the mouth and nose and make its way to the brain, where it causes an inflammation. Once an infection happens, it is hard to diagnose, because it’s not something that we screen for in regular testing. There is also no consensus on treatment, as there are too few cases of this kind of infection. There is no established treatment.

There are about 40 amoeba species under the genus Naegleria. Only one of them, Naegleria fowleri, is pathogenic to humans. This amoeba can be found in freshwater bodies, hot springs and pools with insufficient chlorination. It can also be found in water heaters and even soil. Initial symptoms of infection include headache, which later progresses to neck stiffness, seizures, loss of balance and hallucinations. Its death rate is 99%, and even if cured, patients may still experience epilepsy and emotional disorders.

疑玩水染"食腦變形蟲" 30多歲女發病一週死亡

2023-08-10

國內驚傳”福氏內格里阿米巴腦膜腦炎”的死亡病例。北部一名30幾歲女性,發病前曾經前往新北市一家室內親水設施遊憩,新北市衛生局已經要求業者停業、清消,也在現場檢測發現餘氯濃度,未達衛福部建議標準,若之後水質檢驗,確定檢出阿米巴原蟲,將開罰最重150萬元。

[[新北市衛生局專委 楊時豪]]
“現場的確有針對它的含氯量做一些檢測,那的確有一些不足的狀況,那至於是不是導致產生阿米巴原蟲的狀況,這個也要請中央這邊來釐清”

[[台大兒醫小兒部主治醫師 李秉穎]]
“牠就是要從鼻腔裡面進去你的呼吸道以後,牠才跑到腦部去,引起腦部的發炎,它一旦感染的時候,通常診斷比較困難,因為它不在我們的常規的檢驗項目裡面,然後它的治療也沒有定論,因為這種個案數太少,它沒有一個公認的治療方法”

“內格里阿米巴原蟲”約有40多種,其中只有”福氏內格里阿米巴原蟲”會感染人類,像是野溪、溫泉水、含氯不足的游泳池、工廠溫水、熱水器和土壤裡會有。感染初期會有頭痛症狀,後期出現脖子僵硬、抽搐,喪失平衡感,出現幻覺,致死率99%,即使治好了,也有後遺症,會出現情緒障礙和癲癇等。

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