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Missouri Confirms Brain-Eating Amoeba Infection After Lake of the Ozarks Water Skiing

State agencies have issued freshwater safety guidance to minimize nasal exposure following the Lake of the Ozarks diagnosis.

Lake of the Ozarks in Missouri.
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The view of Lake of the Ozark from an overlook at Ha Ha Tonka State Park on Tuesday, May 20, 2025.

Overview

  • An adult Missouri resident has been diagnosed with Naegleria fowleri and is under intensive care for primary amebic meningoencephalitis at an undisclosed hospital.
  • Preliminary information suggests the patient water-skied on Lake of the Ozarks days before falling ill, though health officials are still investigating the exact exposure.
  • Missouri Department of Health and Senior Services reports no other suspected cases in the state and emphasizes that infections remain extremely rare.
  • Health agencies recommend holding the nose or using nose clips, keeping the head above water, avoiding sediment disturbance and using sterile water for nasal rinses.
  • Researchers warn that climate-driven warming of freshwater and increased organic matter runoff could heighten Naegleria fowleri risk despite the organism’s continued rarity.