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primary amoebic meningoencephalitis in thailand: report of a case and review literatures.primary amoebic meningoencephalitis (pam) which is caused by free-living amoeba, naegleria fowleri, is a rare disease. we report the fifth case in thailand in order to add more information. the patient was a previously healthy 4 1/2-year-old girl from nakhon pathom province. for several weeks before this illness she had swum in a water supply canal. she developed high fever with change in consciousness. her cerebrospinal fluid contained numerous naegleria fowleri which grew in culture media and ...19892659717
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