Naegleria fowleri, primary amoebic meningoencephalitis, meningitis/encephalitis, parasites, next-generation sequencing, syndromic surveillance, Medicine, Infectious and parasitic diseases, RC109-216

We investigated a fatal case of primary amoebic meningoencephalitis from an indoor surfing center in Taiwan. The case was detected through encephalitis syndromic surveillance. Of 56 environmental specimens, 1 was positive for Naegleria fowleri ameba. This report emphasizes the risk for N. fowleri infection from inadequately disinfected recreational waters, even indoors.