Since there is no early detection test, infection from Naegleria fowleri is very difficult to diagnose, early symptoms often appear to be flu like symptoms, or Viral Meningitis. Therefore, it is essential that doctors rule out PAM first – rather than last, when patients present to a hospital ER if the patient recently had freshwater exposure up the nose. There is no early detection test for PAM and very few autopsies are performed looking for Naegleria fowleri.
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