A 29-year-old man is brought to the emergency department by concerned friends because of altered mental status for the past day. The friends report that they recently returned from a two-week vacation. Over the past few days, the patient began to complain of headaches, fever and a stiff neck. Over the last day, he started to lose his balance and become very confused. The patient's toxicology screen comes back negative for opioids, ethanol, barbiturates, benzodiazepines and marijuana. Despite adequate care in the emergency department, the patient expires 5 hours later.
Which of the following is the most likely etiology of the patient’s illness?
- A) Swimming in fresh water; Naegleria fowleri
- B) Travel to East Asia; Toxoplasma gondii
- C) Travel to Latin America; Trypanosoma cruzi
- D) Travel to Latin America; Zika virus