A brain-eating amoeba caused the fatal infection that killed a 14-year-old boy, 48 hours after swimming in a Minnesota lake.
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Hunter A. Boutain was taken off life support Thursday morning at
Masonic Children's Hospital in Minneapolis, just two days after the teen
contracted the deadly primary amebic meningoencephalitis, a pathogen
that lurks in fresh warm water and can infect the brain by travelling
through the nasal cavity, according to family and health officials.
Boutain was at Lake Minnewaska in Pope County on Tuesday, but hospitalized and unresponsive just hours later.
"We are praying for a miracle for this rascal," the teen's uncle, Bryan Boutain, wrote on the blog Caring Bridge Tuesday night.
"A miracle. A miracle. A MIRACLE. No matter how many times I whispered
in his ear that I love him and that I wish he would be bothered enough
by my buffalo-winged bad breath to punch me in the face...he does not,"
Boutain wrote. "I mightily will him to do so. He does not. I beg him. He
does not. I..., yet, he does not. Why won't he? Come on, Hunter...say
something smart to me! Hunter! Hunter? Hunter. Hunt..."
The young Boutain, known as a bright student at Alexandria High School
who sometimes wore bow ties, never recovered. Doctors declared him brain
dead, according to family.
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"The Lord didn't want him to stay on earth. As much as I am hurt I know
I can't love him as much as GOD," older brother Lee Boutain wrote in a
Facebook tribute. "For my little brother will be there waiting for me when I leave this earth."
The Centers for Disease Control and Minnesota Department of Health is
investigating the death, which is the third linked to PAM since 2010.
Lake Minnewaska, which spans 8,000 acres and runs up to 32 feet deep,
is an ice fishing Mecca. It's also much larger than the lakes where the
two previous cases occurred.
"It is not what we think of as typical because the risk is greater when
water temperatures are higher and water levels are lower," said Trisha
Robinson, waterborne diseases unit supervisor for the Minnesota
Department of Health.
Just 35 people have died from PAM in the U.S. since 2005.
The deadly amoeba is common, but can only access the brain through the
nose. Diving or jumping into the water seems to pose the greatest risk,
according to Dr. Stacene Maroushek, a pediatric infectious disease
specialist at Hennepin County Medical Center.
"Try to avoid getting water up the nose," she said. "Use nose plugs or
at least try not to do diving that pushes water up the nose."
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