Life Cycle of Naegleria fowleri

Naegleria fowleri is a the cause of primary amebic meningoencephalitis.  This is a brain disorder that is almost invariably fatal resulting from the invasion of the brain by this facultative parasite.  N. fowleri exists as a free-living organism in freshwater ponds and lakes, and possibly swimming pools and is quite common.  It is believed that diving into "swimming holes" in which amoebae are stirred up from the bottom and are aspirated into the nasal passageways represent the principle epidemiological factor.  The organism exists in an amoeboid as well as a biflagellated form.  It is believed the biflagellated form is the invasive stage and reverts to the amoeboid form when invading the cribiform plate through which the olfactory nerves pass to the brain.  The amoebae pass into the brain where they lyse brain tissue.  It is a rare disease usually only diagnosed during an autopsy.  Cooling pools of power plants are often inhabited by this amoeba.  Run-off from such plants may contaminate nearby waterways.