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!
Hawaii
I flew to the ‘least touristy’ island in Hawaii on a 9-passenger plane. I’d only suggest this trip to certain travelers.
Often described as Hawaii’s “least touristy” island, Molokai hosted around 30,000 visitors in 2024, a minuscule percentage of the millions of tourists who came to our state.
Home to about 7,400 residents, much of the island’s land remains dedicated to agriculture, cultural preservation, and rural areas.
The island has no big-box resorts, not much nightlife, no permanent traffic lights, and limited visitor infrastructure. The tight-knit community has historically resisted large-scale tourism to protect its slower pace of life.
Until 2016, travelers could reach Molokai by ferry from my hometown of Lahaina, but the service was discontinued due to competition from commuter air travel and declining ridership, Maui News reported.
Today, small commuter planes are the only way to access the island.
I paid $190 for my round-trip ticket from Maui, and the turbulent 20-minute flight quickly made it clear to me why this trip isn’t for everyone.
Hawaii
Hawaii agencies unite to stop illegal fireworks | Safe 2026
On New Year’s Eve 2025, Honolulu witnessed one of the most devastating illegal fireworks incidents in Hawaii’s history.
It was a neighborhood celebration that turned tragic, claiming the lives of several residents and leaving many others with life-altering injuries.
In this special “Safe 2026: Stop Illegal Fireworks” news forum, KHON2 brought together the key agencies and voices who are working to stop incidents like that from happening again.
The conversation will shed light on the dangers of illegal fireworks — and the united effort to ensure that the 2025 Aliamanu fireworks tragedy is never repeated.
Be part of the conversation with these special guests:
- Honolulu Mayor Rick Blangiardi
- Honolulu Police Department Interim Chief Rade Vanic
- Hawaii Department of Law Enforcement Director Mike Lambert
- Deputy Honolulu Prosecutor Mike Yuen
Together, we will examine what went wrong, what’s being done to strengthen enforcement and how we can all help our communities stay safe this New Year’s Eve.
Hawaii
Volcano Golf Course: One Of The Most Unique Rounds In Hawaii
Steam rises from Kilauea Volcano, just a few miles from Volcano Golf Course on the Big Island of Hawaii.
Matty Lee, Volcano Golf Course
For travelers willing to venture beyond the familiar resort corridors on the Big Island of Hawaii, Volcano Golf Course offers a truly memorable detour and golf experience.
Located about 4,000 feet above sea level in the cool uplands of Volcano Village – several hours from resorts like Mauna Lani and Mauna Kea on the sunny Kohala Coast — the more-than-100-year-old course sits across the street from Hawaii Volcanoes National Park and just a few miles from the active Kīlauea volcano. With sweeping mountain views and a setting shaped by volcanic terrain and rainforest, Volcano delivers a side of Hawaiian golf that feels unpolished, far removed from lush resort fare, and deeply connected to its surroundings.
Just outside Hawaii Volcanoes National Park on the Big Island, Volcano Golf Course is a 100-year-old+ layout at 4,000 feet above sea level that offers a fun, pure golf experience in a unique setting. Erik Matuszewski
The setting alone makes Volcano Golf Course quite possibly the most unique golf facility in the Hawaiian Islands. Few courses anywhere can claim proximity to one of the planet’s most active volcanoes, and even fewer allow golfers to play a round in the cooler mountain air before getting a chance to witness glowing lava flows after dark.
While Volcano Golf Course isn’t affiliated with a resort, it now offers a special stay-and-play opportunity through a partnership with nearby Kīlauea Lodge & Restaurant, a cozy inn nestled in the heart of Volcano Village less than five miles down the road. The Kīlauea Stay & Play Package combines three nights at the lodge with two rounds of golf, carts, range balls and even a full-size rental car, creating an easy and immersive way to experience this special part of the island.
A photo from the walking trails and botanical gardens behind the Kilauea Lodge just a few minutes down the road from Volcano Golf Course and Hawaii Volcanoes National Park.
Erik Matuszewski
Tucked into rainforest surrounds, the lodge mirrors the spirit of the course — intimate, warm, historic, and deeply local. There are guest rooms with stained glass windows, fireplaces and local artwork, along with an award-winning restaurant. The property is a perfect jumping-off spot for trips to Volcanoes National Park, which not only has a spectacularly active summit caldera – the Halema’uma’u crater – but more than 150 miles of hiking trails, lava tubes, steam vents and dramatic volcanic rock landscapes.
It’s possible to see steam rising from the volcano on certain parts of the nearby golf course. And with its brisk breezes, cooler temperatures, occasional misty conditions and cloudy skies, and turf that’s more seasonal than always a lush green, Volcano Golf Course at times can feel less like Hawaii and more like a rustic linksland in Ireland.
At times, Volcano Golf Course has a feel more akin to a links-style layout in the U.K. than to Hawaii’s typical resort courses.
Erik Matuszewski
The conditions even tend toward fast and firm, rewarding creativity on what is an immensely fun layout. There’s no luxurious clubhouse, no greens on the ocean, no overdone landscaping, and really no intent to be anything other than it is — a pure golf experience in a unique setting.
The wide fairways are framed by dense vegetation and native ‘ōhi‘a trees bloom with bright red blossoms. The Nēnē goose, Hawaii’s state bird, is a frequent companion for local and adventurously itinerant golfers alike.
Nene and golfers share the fairways at Volcano Golf Course.
Erik Matuszewski
For a time, Volcano’s future was uncertain.
The course was closed in 2020 when the then-operator abruptly ceased operations. Kamehameha Schools, which owns the 156-acre parcel of land the golf course is on, would later step in to regain control of the facility and reopened it in 2022 after two years of dormancy.
Troon’s Indigo Sports arm was brought in to manage day-to-day operations and the course today continues to only get better as it embraces its unique place in not only the Hawaii golf environs but even more broadly. Matty Lee was recently appointed as the property’s head professional and is excited about the opportunity at Volcano, including plans for a new, permanent clubhouse.
Hitting a shot at Volcano Golf Course with steam rising from the active Kilauea Volcano in the background.
Matty Lee, Volcano Golf Course
Part of the commitment for Volcano, which is a 45-minute drive from Hilo and about two hours from Kona, is a stewardship, and responsibility to care for, the local environment. The unique setting is the biggest reason Volcano Golf Course stands out from the dozens of other Hawaii courses.
In a state known for tourism and escapist luxury, Volcano is authentic and pure – a golf experience set in one of the most dramatic natural environments in the game.
Several hours from the resorts on the Big Island’s Kohala Coast, Volcano Golf Course has sweeping mountain views and a setting shaped by volcanic terrain and rainforest.
Volcano Golf Course | Troon
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