primary amoebic meningoencephalitis in north queensland: the paediatric experience. | primary amoebic meningoencephalitis (pam) is a fulminant, diffuse haemorrhagic meningoencephalitis caused by naegleria fowleri, with an almost invariably fatal outcome. in australia and the developed world, pam remains a rare disease, although it is very likely that large numbers of cases go undetected in developing countries. n. fowleri is a thermophilic, free-living amoeba with a worldwide distribution. it is acquired when contaminated fresh water is flushed into the nose and penetrates the ce ... | 2016 | 27681975 |