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Woman, 30, infected by brain worms after trip to Hawaii — the symptoms that sent her to the hospital

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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. 

She had just been traveling through Thailand, Japan and Hawaii. MNStudio – stock.adobe.com

But then her symptoms got worse, and she began experiencing a burning sensation in her feet that traveled up through her legs. 

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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. 

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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. 


Brain scan of infected woman
The infection can be caused by consuming raw or undercooked infected snails. CDC

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.

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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!

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Man, 26, dies after jumping off cliff at ‘End of the World’ | Honolulu Star-Advertiser

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Man, 26, dies after jumping off cliff at ‘End of the World’ | Honolulu Star-Advertiser


Hawaii island police are investigating the possible drowning of a 26-year-old man after he reportedly jumped off a cliff in Keauhou over the weekend.

Police have identified him as Mathen Jackson, 26, of Kailua-Kona.

Kona patrol officers got a 5:13 p.m. call about a swimmer at distress at Lekeleke Bay, more commonly known as the “End of the World.”

According to a witness, Jackson decided to jump off the cliff, and became distressed in the strong current. His friend called 911, and then entered the water along with a passerby to rescue Jackson.

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They reportedly brought Jackson to a nearby tour boat that had responded to the distress call. Good Samaritans on board initiated CPR and used an AED on Jackson on the boat.

The boat transported Jackson to Keauhou Pier, where the Hawaii Fire Department took over life-saving measures. He was taken to Kona Community Hospital in critical condition, and later pronounced dead at 6:36 p.m.

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Police have initiated a coroner’s inquest investigation. No foul play is suspected at this time.

Anyone with any information is asked to contact Kona Patrol Acting Sergeant Reuben Pukahi at (808) 326-4646 ext. 253.




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Ahupua‘a restoration in Molokai offers potential flooding remedy | Honolulu Star-Advertiser

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Ahupua‘a restoration in Molokai offers potential flooding remedy | Honolulu Star-Advertiser




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Hawaiian Volcano Observatory Experiences Network Outage

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(BIVN) – The eruption at the summit of Kīlauea remains paused following the end of episode 44 on April 9th. The USGS Hawaiian Volcano Observatory continues to monitor the Hawaiʻi island volcano, despite a partial network outage that is occurring Sunday morning. 

“Many Kīlauea monitoring data streams are presently offline due to an outage of HVO’s radio telemetry network,” the Observatory reported, “but the remaining operational stations are sufficient to detect any major changes to the volcanic system; none are noted at this time.” 

The USGS HVO issued a more detailed information statement on the outage Sunday morning:

The USGS Hawaiian Volcano Observatory (HVO) is experiencing a partial monitoring network outage that started around 1:45 p.m. HST on Saturday, April 11. Despite this partial outage, the remaining data coming into HVO are sufficient to allow us to detect major changes at Hawaiian volcanoes.

The outage is affecting monitoring data transmitted via radio telemetry. Monitoring data transmitted via the Island of Hawai‘i’s cellular network are still being collected and relayed to the web as normal. This includes the three Kīlauea summit live-stream cameras, which remain online at this time.

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HVO staff have been assessing the issue and working to resolve the outage since yesterday afternoon. Restoration of data streams could take hours or days due to the complexity of the problem. Meanwhile, users of the HVO website will notice gaps in seismic and other data streams until the problem is resolved.

HVO continues to monitor Hawaiian volcanoes closely, and we will continue to issue updates on a regular schedule.

The scientists note the rapid return of inflationary tilt following episode 44, and strong glow from both eruptive vents in Halemaʻumaʻu, indicates that another lava fountaining episode is likely. At this time, there is not enough information to develop a detailed forecast window for the next episode, the Observatory says. 





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