A case of primary amebic meningoencephalitis caused by Naegleria fowleri in Bangladesh

  • Hossain M. S. SazzadEmail author
  • Stephen P. Luby
  • James Sejvar
  • Mahmudur Rahman
  • Emily S. Gurley
  • Vincent Hill
  • Jennifer L. Murphy
  • Shantanu Roy
  • Jennifer R. Cope
  • Ibne K. M. AliEmail author
Protozoology - Short Communication


We present the first recognized case of primary amebic meningoencephalitis (PAM) caused by Naegleria fowleri in a 15-year-old male from Bangladesh. He performed daily nasal rinsing with untreated ground water and bathed in untreated ground water or river water, which likely exposed him to N. fowleri.


Naegleria fowleri Primary amebic meningoencephalitis PAM Meningitis Encephalitis Ritual rinsing Ablution Free-living ameba Genotype 



icddr,b acknowledges with gratitude the commitment of Centers for Disease Control and Prevention (CDC), NIH, and Government of Bangladesh for their research efforts. icddr,b is thankful to the Governments of Australia, Bangladesh, Canada, Sweden, and the UK for providing core/unrestricted support.

Funding information

The study was funded by the US National Institutes of Health (NIH), grant number 07-015-0712-52200 (Bangladesh-NIH/EID), and NSF/NIH Ecology and Evolution of Infectious Diseases grant number 2R01-TW005869 from the Fogarty International Center.

Compliance with ethical standards

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the U.S. Centers for Disease Control and Prevention.

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

436_2019_6463_MOESM1_ESM.docx (22 kb)
Supplementary Figure S1 (DOCX 21 kb)


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.International Center for Diarrhoeal Diseases Research, Bangladesh (icddr,b)DhakaBangladesh
  2. 2.The Kirby InstituteUniversity of New South WalesSydneyAustralia
  3. 3.Stanford University School of MedicineStanfordUSA
  4. 4.Centers for Disease Control and Prevention (CDC)AtlantaUSA
  5. 5.Institute of Epidemiology, Disease Control and Research (IEDCR)DhakaBangladesh
  6. 6.Johns Hopkins Bloomberg School of Public HealthBaltimoreUSA

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