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Arizona Boy Dies Of Rare Infection
www.kpho.com ^ | 09/26/2007 | Staff

Posted on 09/27/2007 12:55:29 PM PDT by Red Badger

PHOENIX -- A 14-year-old Lake Havasu boy has become the sixth victim to die nationwide this year of a microscopic organism that attacks the body through the nasal cavity, quickly eating its way to the brain.

Aaron Evans died Sept. 17 of Naegleria fowleri, an organism doctors said he probably picked up a week before while swimming in the balmy shallows of Lake Havasu.

According to the Centers For Disease Control, Naegleria infected 23 people from 1995 to 2004. This year health officials said they've noticed a spike in cases, with six Naegleria-related cases so far -- all of them fatal.

Such attacks are extremely rare, though some health officials have put their communities on high alert, telling people to stay away from warm, standing water.

"This is definitely something we need to track," said Michael Beach, a specialist in recreational water-born illnesses for the CDC.

"This is a heat-loving amoeba. As water temperatures go up, it does better," Beach said. "In future decades, as temperatures rise, we'd expect to see more cases."

Organism Lives In Lake Bottoms

Though infections tend to be found in southern states, Naegleria has been found almost everywhere in lakes, hot springs, even some swimming pools. Still, the CDC knows of only several hundred cases worldwide since its discovery in Australia in the 1960s.

The amoeba typically live in lake bottoms, grazing off algae and bacteria in the sediment. Beach said people become infected when they wade through shallow water and stir up the bottom. If someone allows water to shoot up the nose -- say, by doing a cannonball off a cliff -- the amoeba can latch onto the person's olfactory nerve.

The amoeba destroys tissue as it makes its way up to the brain.

People who are infected tend to complain of a stiff neck, headaches and fevers, Beach said. In the later stages, they'll show signs of brain damage such as hallucinations and behavioral changes.

Once infected, most people have little chance of survival. Some drugs have been effective stopping the amoeba in lab experiments, but people who have been attacked rarely survive, Beach said.

"Usually, from initial exposure it's fatal within two weeks," Beach said.

Researchers still have much to learn about Naegleria, Beach said. For example, it seems that children are more likely to get infected, and boys are infected more often than girls. Experts don't know why.

"Boys tend to have more boisterous activities (in water), but we're not clear," he said.

Texas, Florida Report Cases

In addition to the Arizona case, health officials reported two cases in Texas and three more in central Florida this year. In response, central Florida authorities started an amoeba telephone hot line advising people to avoid warm, standing water, or any areas with obvious algae blooms.

Texas health officials also have issued news releases about the dangers of amoeba attacks and to be cautious around water. People "seem to think that everything can be made safe, including any river, any creek, but that's just not the case," said Doug McBride, a spokesman for the Texas Department of State Health Services.

Lake Havasu City officials also are discussing how to deal with rare amoeba attacks in the wake of Aaron Evans' death. "Some folks think we should be putting up signs. Some people think we should close the lake," city spokesman Charlie Cassens said. City leaders haven't yet decided what to do.

Beach warned that people shouldn't panic about the dangers of brain-eating amoeba. Infections are extremely rare when compared with the number of times a year people come into contact with water. And there have been occasional years during the past two decades that experts noticed a similar spike in infections.

The easiest way to prevent infection, Beach said, is to simply plug your nose when swimming or diving in fresh water.

"You'd have to have water going way up in your nose to begin with" to be infected, he said.

Aaron's Infection Started With Headache

The Evans family lives within eyesight of Lake Havasu, a bulging strip of the Colorado River that separates Arizona from California. Temperatures hover in the triple digits all summer, and like almost everyone else, the Evans family looks to the lake to cool off.

On Sept. 8, he brought Aaron, his two other children and his parents to Lake Havasu to celebrate his birthday. They ate sandwiches and spent a few hours splashing around one of the beaches.

"For a week, everything was fine," he said.

Then Aaron got the headache that wouldn't go away. Evans took him to the hospital, and doctors thought his son was suffering from meningitis. Aaron was rushed to another hospital in Las Vegas.

Evans tried to reassure his son, but he had no idea what was wrong. On Sept. 17, Aaron stopped breathing as David held him in his arms.

"He was brain dead," David said. Only later did doctors realize the boy had been infected with Naegleria.

"My kids won't ever swim on Lake Havasu again."


TOPICS: News/Current Events; US: Arizona; US: Florida; US: Texas
KEYWORDS: amoeba; brain; lake; swimming
Tragic. But could this have been prevented somehow?..........
1 posted on 09/27/2007 12:55:43 PM PDT by Red Badger
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To: Red Badger
Maybe, but I think they're more interested in pushing the global warming agenda - Beach said. "In future decades, as temperatures rise, we'd expect to see more cases."
2 posted on 09/27/2007 12:58:28 PM PDT by knittnmom (...surrounded by reality!)
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To: Red Badger

Stay out of warm, standing lake water. It’s nasty anyway....


3 posted on 09/27/2007 1:00:20 PM PDT by kittymyrib
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To: Red Badger
No, it couldn't have been prevented. The parents had no way of knowing the lake harbored that dangerous bacteria. Heck, apparently it took a post-mortem to diagnose what infected the child. It's such a rare occurrence that no public health warnings were issued, because no one knew of the danger.

There are thousands upon thousands of ways to die. Human beings cannot prevent them all. Heck, we can't even prevent the ways to die that we cause, let alone prevent all of the many ways nature can kill us.

4 posted on 09/27/2007 1:20:19 PM PDT by Wolfstar (If ye break faith with us who die, We shall not sleep, though poppies grow in Flanders fields.)
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To: Red Badger
Noseclips
5 posted on 09/27/2007 1:23:06 PM PDT by Blackyce (President Jacques Chirac: "As far as I'm concerned, war always means failure.")
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To: Blackyce

CDC Fact Page:
http://www.cdc.gov/Ncidod/dpd/parasites/naegleria/factsht_naegleria.htm#reduce


6 posted on 09/27/2007 1:25:47 PM PDT by Blackyce (President Jacques Chirac: "As far as I'm concerned, war always means failure.")
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To: Red Badger

Wow!
This was on an episode of House....an extremely painful way to die.


7 posted on 09/27/2007 1:25:51 PM PDT by najida (Just call me a chicken rancher :))
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To: najida

Was that the one where the guy went blind but didn’t know he was blind? And then it was so painful that no medicine could really help?


8 posted on 09/27/2007 1:29:25 PM PDT by techcor
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To: techcor

Yep! And whathisface tries to infect his coworker so she’ll be more invested in finding a cure.

Good EP as I recall!


9 posted on 09/27/2007 1:32:03 PM PDT by najida (Just call me a chicken rancher :))
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To: Red Badger
Tragic. But could this have been prevented somehow?.

It's difficult to say. The organism can flourish even in swimming pools. Other than wearing a nose clip while swimming, and pinching the nose shut with one hand while jumping into the water, I don't know what else can be done.

And wasn't it so very nice of them to push the 'global warming' angle on this story? They're dancing on this kid's grave.

10 posted on 09/27/2007 1:41:21 PM PDT by 60Gunner (ER Nursing: You watch it... We live it!)
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To: All; Blackyce
Allow me to correct myself. Having clicked on the CDC link, I find that we can do alot to prevent getting this thing.

Thank you for providing the CDC link, Blackyce. I deal with diseases for a living, but sometimes I get a "duh" moment.

11 posted on 09/27/2007 1:46:04 PM PDT by 60Gunner (ER Nursing: You watch it... We live it!)
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To: Red Badger

Probably publicizing the way the infections occur AND telling people to tell their children NEVER to sniff inwards when you’ve been in non-chlorinated water. People in our society are programmed to always sniff inward when they feel their nose running. It’s a bad idea for a lot of less scary reasons than this, but if you could paint a picture for kids of how all natural bodies of water have “germs” and that sniffing inward when you’ve been swimming in one makes the germs go up your nose into your brain, a lot of kids could probably remember not to.


12 posted on 09/27/2007 1:51:32 PM PDT by GovernmentShrinker
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To: 80 Square Miles

Literally EVERYTHING is the fault of global warming and GWB, since he doesn’t buy into the man-made global warming myth. Or does GW in GWB now stand for Global Warming?


13 posted on 09/27/2007 2:33:31 PM PDT by Blood of Tyrants (G-d is not a Republican. But Satan is definitely a Democrat.)
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