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A 17-Year-Old Male Visiting His Grandparents in Louisiana in August

Question 100

Multiple Choice

A 17-year-old male visiting his grandparents in Louisiana in August develops a severe unrelenting headache that is not relieved by analgesics. He is very sleepy and complains about an odd odor that he thinks is in the whole house. Primary amebic meningoencephalitis is diagnosed. How was it most likely acquired?


A) Intravenous drug abuse
B) Diving or swimming in contaminated water
C) His grandfather's use of horse dung as vegetable fertilizer
D) Eating undercooked crayfish (a shell fish)
E) Handling cat litter

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