18 years old male developed meningitis 5 days after taking a bath in pond. The likely causative organism –
## Core Concept
The question tests the knowledge of a specific type of meningitis caused by an organism commonly found in water, particularly in ponds. This scenario suggests an infection with *Naegleria fowleri*, a free-living amoeba.
## Why the Correct Answer is Right
*Naegleria fowleri* is a thermophilic, free-living amoeba found in warm freshwater environments such as ponds, lakes, and rivers. It causes primary amoebic meningoencephalitis (PAM), a rare but often fatal disease. Infection typically occurs when contaminated water enters the body through the nasal passages, allowing the amoeba to migrate to the brain via the olfactory nerve. The incubation period is usually 3 to 7 days, which fits the 5-day timeline provided. The symptoms of PAM include headache, fever, confusion, and seizures, progressing rapidly to coma and death if not promptly treated.
## Why Each Wrong Option is Incorrect
* **Option A:** This option is blank and does not provide any information to evaluate.
* **Option B:** This option is also blank and cannot be assessed.
* **Option C:** Similarly, this option does not offer any details for consideration.
* **Option D:** This option as well lacks specific information to determine its accuracy.
## Clinical Pearl / High-Yield Fact
A key point to remember is that *Naegleria fowleri* infections are associated with water activities that involve diving or getting water up the nose, such as swimming, bathing, or washing the face in contaminated water. Early diagnosis and treatment are critical, but the disease is often fatal. A classic clinical clue is the recent history of freshwater exposure.
## Correct Answer Line
**Correct Answer: B. Naegleria fowleri.**