I thank Martinez for his interest in my article1 and his comments. He raises several points on which I would comment further.Regarding the water temperature, I have no indication as to what the ambient temperature of the water was during the time of the incident. I can only state that during this time in middle to late July, the ambient air temperatures were in the range of 88°F to 95°F during the daytime, with lows in the low-to-middle 70°F ranges at night. I am uncertain as to what this would translate to as water temperature. I am also uncertain as to the 40°C to 45°C range referred to in the letter and wonder if this is a misprint.In response to concern over the incubation period, the patient had been waterskiing in the small stagnant freshwater lake, approximately 4 days prior to the onset of his
Brown RL. Amebic Encephalitis Unlikely-Reply. Arch Intern Med. 1992;152(6):1331. doi:10.1001/archinte.1992.00400180166034
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