Hawaii
Woman, 30, infected by brain worms after trip to Hawaii — the symptoms that sent her to the hospital
A woman who had just returned from a dream vacation ended up with a nightmare condition.
The New England native, 30, had just spent three weeks traveling around Thailand, Japan and Hawaii, where she swam in the ocean and frequently dined on salads and sushi.
When she returned home, she noticed that she felt a little fatigued, which she initially simply blamed on jet lag.
But then her symptoms got worse, and she began experiencing a burning sensation in her feet that traveled up through her legs.
She was hospitalized, but her test results seemed to indicate that she was fine — until she had to go back to the emergency room because the burning sensation had migrated to her arms and was now accompanied by a severe headache.
She was ultimately treated at Massachusetts General Hospital by Dr. Carlos A. Portales Castillo and became a case study in The New England Journal of Medicine.
According to Castillo, the woman’s roommate rushed her to the hospital once more after “she awoke, she thought she needed to pack for vacation and was not redirectable,” continuing to be disoriented for several hours, People reported.
The prognosis? Angiostrongyliasis — a parasitic infection caused by Angiostrongylus species, most commonly Angiostrongylus cantonensis, which is also known as “rat lungworm.”
While rats are the primary hosts of this infection, snails and slugs can act as intermediate hosts, and humans can become infected by consuming them raw or undercooked.
Dr. Joseph Zunt, a neurologist who specializes in infectious diseases, came to this diagnosis after doctors performed a lumbar puncture, also known as a spinal fluid test, and discovered she had eosinophilic meningitis — inflammation of the membranes around the brain and spinal cord.
He also connected the dots after finding out more about her behavior in Hawaii, where the infection is a known issue.
Most of the cases in Hawaii have been on the Big Island, though it’s popped up in the other major islands as well. Though there haven’t been any documented cases yet in 2025, there were eight in 2024 — seven residents and one visitor.
Infection can occur from eating raw or undercooked infected snails or slugs, fruits or veggies that have been contaminated, or an land crabs, freshwater prawns, frogs that have themselves eaten an infected snail. This patient most likely became sick while eating food that was contaminated with snail or slug slime.
Symptoms of rat lungworm often start with nausea, vomiting, and stomach pain, starting hours or days after eating contaminated food, according to Hawaii’s Disease Outbreak Control Division.
Headache, fever, muscle pain, fatigue, insominia, and neurologic symptoms can develop, as can neck stiffness and pain, tingling or burning of the skin, double vision, bowel or bladder difficulties, and seizures.
Children may experience more fever, irritability, somnolence, lethargy, gastrointestinal symptoms, muscle twitching, convulsions, and extremity weakness. In addition, individuals may experience a few days to weeks of no symptoms followed by neurologic symptoms.
Because cases are often misdiagnosed or underreported, it’s difficult to determine precisely how frequently people contract this illness. However, Hawaii typically reports 10-12 cases per year, and it has occurred in other tropical regions, such as Florida and Texas.
There is no specific cure for this infection, so treatment usually focuses on pain management. In this patient’s case, she was treated with the anti-inflammatory steroid prednisone and sent home from the hospital after six days.
In January, a disturbing X-ray of a human body riddled with worms went viral after the patient contracted cysticercosis — which begins with eating undercooked pig but is passed through fecal matter.
Just another good reminder to always wash your hands!
Not Yer Baby at the Asbury Park Music Awards at the Stone Pony
Members of Not Yer Baby accept an award at the Asbury Park Music Awards at the Stone Pony on Feb. 20, 2026
Aloha, New Jersey.
Asbury Park rocker Jake Thistle will be featured on the Monday, March 9 episode of “American Idol.” It’s the ‘Ohana Round episode, which will have the Top 30 hopefuls performing for industry tastemakers as well as peers, family members and friends at Disney’s Aulani Resort in Hawaii.
Jacquie Lee of Colts Neck is also in the Top 30.
The tastemakers include social media personalities Kaniyia Brown and Terry McCaskill; dancer Sasha Farber; musician Anthony Gargiula; actress Loren Gray; singer Cheryl Porter; Grand Ole Opry announcer Kelly Sutton; and Rolling Stone editor Shirley Halperin, an East Brunswick native.
Thistle sang an earnest and soulful version of Sam Fender’s “Seventeen Going Under” on the Thursday, Feb. 23 Hollywood Week episode.
Lionel Richie said “I like him” after he pumped his fist during the rendition.
“You’re so ready for this,” said Luke Bryan of Thistle.
Music legends Lyle Lovett with John Hiatt are also fans of Thistle, a Paramus native.
“We’ve know Jake since he was a youngster and we’ve watched him grow and if you ever get a chance to hear Jake thistle play you will be glad you did,” said Lovett Wednesday, Match 4 from the stage of the Mayo Performing Arts Center in Morristown.
Thistle thanked the music stars on social media.
“Both of them have been hugely important to my development as a songwriter and musician, and I was honored they took the time!” Thistle said.
The 21-year old has been a regular on Asbury Park stages and Bruce Springsteen-related shows in the area. Thistle has even shared the same stage as the Boss.
“American Idol” airs 8 p.m. Mondays on ABC and subsequently streams on Hulu.
Subscribe to app.com for the latest on the New Jersey music scene.
Chris Jordan, a Jersey Shore native, covers entertainment and features for the USA Today Network New Jersey. Contact him at cjordan@app.com
HONOLULU (HawaiiNewsNow) – If you grew up in Hawaii, a visit to your local Crackseed shop is likely a core childhood memory.
Let’s go holoholo to one of the oldest shops in Honolulu, Kay’s Crackseed.
Any time Lanette Mahelona of Kaneohe is in Manoa, a stop at Kay’s Crackseed is a must!
“I stop by here, and I always grab two pounds of this seedless creamy ume because it’s hard to find on our end of the island, Kaneohe,” said Mahelona.
Kay’s Crackseed sits in a four-hundred-square-foot shop at Manoa Marketplace.
The original owner, Kay, opened the shop in 1978 and ran it for 18 years.
Mei Chang now runs the shop. Her family took it over in 1996. They’ve been selling an assortment of crack seed and products, which Mei says is a healthy snack in the eyes of the Chinese.
“Yeah, so like the ginger, the Chinese always say it’s Chinese medicine, so they help your motion sickness, the stomach, and even the kumquat,” said Chang. “It’s like honey lime ball, if you catch a cold, sore throat, they help a lot.”
Customers are encouraged to sample the different treats.
Now working in a crack seed shop isn’t anything new for Chang.
She said these kinds of shops are in common in Taiwan that her grandparents used to sell different kinds of li hing mui.
Chang lived right above her grandparents’ shop and was in the second grade when she started helping them with the business.
“Every day when I finish school first thing open a jar,” said Chang. “I really like the football seed, so every day I eat a football seed for my snack.”
And talk about a full circle moment, her daughter would also help around the Manoa shop.
Through Kay’s Crackseed, Chang hopes to carry on traditional recipes she learned from her grandparents.
“Crack seed for us is not only the snack, but it’s like childhood memory, yeah, the happiness, so we try to keep doing the tradition. So, all the juice we make here is from our grandpa and grandma’s recipe,” said Chang. “So, a special yeah, secret sauce, so we have some customers that live far away, the other side of the island, drive so far to come here to get the li hing one. The wet li hing mui, the rock salt palm, is really popular.”
“The li hing mui ones are not as sweet, sweet as other places, and it’s soft,” said Crystal Kaluna of Kauai.
Copyright 2026 Hawaii News Now. All rights reserved.
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