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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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Meeting set to discuss Kona airport master plan – West Hawaii Today

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Thieves target temporary water meters across Oahu

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Thieves target temporary water meters across Oahu


HONOLULU (HawaiiNewsNow) – A piece of equipment designed to provide temporary water access across Oahu is now being targeted by thieves, prompting concerns from officials over rising losses and illegal water use.

The Board of Water Supply rents out temporary meters for construction sites, public events and emergency use when potable water is needed in areas without direct service.

But officials say some of the devices are being stolen despite heavy security measures.

At installation sites, the meters are wrapped in thick steel chains and secured with multiple heavy-duty padlocks to deter tampering and theft.

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“For somebody to try and take it, because you saw the chain, it’s the big links. They’re thick links, so you’d have to come with a grinder or an extremely heavy-duty bolt cutter. So it’s not impossible to remove it, but it requires quite a bit of effort to remove it,” said Kathleen Pahinui, public information officer for the Board of Water Supply.

According to the agency, about 22 temporary fire hydrant meters have been illegally removed over the past two and a half years. Eight of those thefts occurred in just the past three months.

Officials say the motive behind the thefts is not confirmed, but potential drivers include scrap value or misuse of the meters to divert water for unauthorized use.

“And we don’t want people basically stealing water because then we all end up paying for that theft,” Pahinui said.

Each temporary meter costs about $3,000 to replace, and the Board of Water Supply says responsibility for protecting the device falls on the permit holder once it is installed.

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“The person who has the contract with us has to replace it,” Pahinui said.

State Sen. Brenton Awa said one stolen meter on the North Shore had been serving the Haleiwa Seed Bank, where volunteers are planting coconut and ulu trees for the community.

“We set this up with the Board of Water so that we’re within the rules, we’re paying for the water, for the project, for the community. And then it just wasn’t here one day,” Awa said.

“It’s a piece of metal on the side of the road. Who’s going to steal this thing? But apparently… it’s worth something,” Awa added.

Under Hawaii law, scrap yards are prohibited from purchasing municipal, utility or state owned equipment without proper documentation.

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Recyclers say materials commonly found in the meters, including brass and bronze, typically sell for about $2 to $3 per pound depending on grade. While the scrap value is relatively low, companies say functioning used meters can resell for hundreds of dollars.

The Board of Water Supply is urging the public to report any suspicious activity involving temporary meters by calling (808) 748-5000.

Copyright 2026 Hawaii News Now. All rights reserved.



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Early-morning 4.5 magnitude quake rattles offshore of Hawai‘i Island | Big Island Now

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Early-morning 4.5 magnitude quake rattles offshore of Hawai‘i Island | Big Island Now


June 17, 2026, 8:39 AM HST

An early-morning magnitude 4.5 earthquake on Wednesday, 11 miles southeast of Pāhala, had no apparent impact on either Mauna Loa or Kīlauea volcanoes.

According to the Hawaiian Volcano Observatory, the shaker struck at 2:14 a.m. at a depth of 21 miles below sea level. More than 169 “Felt Reports” were documented within the first hour of the tremor, which was felt widely across Hawai‘i Island.

The U.S. Geological Survey reported the quake as a magnitude 4.6.

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A 4.5 magnitude earthquake was reported by the Hawaiian Volcano Observatory in the early morning hours of June 17, 2026.

Aftershocks are possible in the coming days to weeks. The Hawaiian Volcano Observatory continues to monitor Hawaiian volcanoes for any changes.

No damage to buildings or infrastructure is expected given the earthquake’s intensity, and no tsunami threat was triggered.

This earthquake is part of the seismic swarm under the Pāhala area, which has been going on since 2019. Earthquakes in this region have been observed at least as far back as the 1960s.

Click here to read more about the swarm.

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