Naegleria fowleri - Treatment

What kinds of treatment or medication did you receive for a Naegleria fowleri infection?

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What is the treatment for a Naegleria fowleri infection?

Because Naegleria meningoencephalitis is rare, there are no studies comparing one treatment regimen to another.

The treatment of choice is amphotericin B, which is an intravenous drug usually used for fungal infections. In addition to intravenous treatment, amphotericin B can be instilled directly into the brain (intrathecally).

Other drugs such as rifampin (Rifadin), voriconazole (Vfend), or miltefosine (Miltex) have activity against Naegleria fowleri and may sometimes be used in combination with amphotericin B. However, there is no scientific data available to determine the clinical efficacy of these medications and no official recommendation for their use.

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