Evidence map›Paper›PMID 40146665›Full record

ArticleMMWR. Morbidity and mortality weekly report2025

Fatal Case of Splash Pad-Associated Naegleria fowleri Meningoencephalitis - Pulaski County, Arkansas, September 2023.

Theresa M Dulski, Forrest Montgomery, Jeanette M Ramos, Eric R Rosenbaum, Bobby L Boyanton, Courtney M Cox, Steven Dahl, Cole Kitchens, Terry Paul, Amy Kahler and 7 more

Abstract readCase Reports
In one paragraph

Article in MMWR. Morbidity and mortality weekly report, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Detection ofACS ES&T water · 2026
    Article
  2. One health (Amsterdam, Netherlands) · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Theresa M Dulski
Forrest Montgomery
Jeanette M Ramos
Eric R Rosenbaum
Bobby L Boyanton
Courtney M Cox
Steven Dahl
Cole Kitchens
Terry Paul
Amy Kahler
Alexis Roundtree
Mia Mattioli
Michele C Hlavsa
Ibne K Ali
Shantanu Roy
Julia C Haston
Naveen Patil

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A fatal case of primary amebic meningoencephalitis (PAM), an infection caused by Naegleria fowleri, was diagnosed in Arkansas in a young child in September 2023. A public health investigation was completed, with epidemiologic, laboratory, and environmental data suggesting that a splash pad (an interactive water play venue that sprays or jets water on users and has little or no standing water) with inadequately disinfected water was the most likely site of the patient's N. fowleri exposure. This case is the third occurrence of splash pad-associated PAM reported in the United States; all three cases involved inadequately disinfected water. PAM should be considered in patients with acute meningoencephalitis and a history of recent possible exposure to fresh water, including treated recreational water (e.g., in splash pads or pools), via the nasal passages. Proper design, construction, operation, and management of splash pads can help prevent illnesses, including N. fowleri infections. Increased awareness, collaboration, and communication among clinicians, hospitals, laboratories, CDC, health departments, the aquatics sector, and the public can help support N. fowleri infection identification, treatment, prevention, and control efforts.

Indexed as

Central Nervous System Protozoal InfectionsNaegleria fowleriArkansasChild, PreschoolFatal OutcomeHumans

Identifiers

PMID40146665
PMCPMC11949314

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.