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A Seattle woman rinsed her sinuses with tap water. A year later, she died of a brain-eating amoeba.Her case is reported this week in the International Journal of Infectious Diseases.The 69-year-old, whose name was not given, had a lingering sinus infection. For a month, she tried to get rid of it using a neti pot with tap water instead of using sterile water, as is recommended.Neti pots are used to pour saline into one nostril and out of the other to irrigate the sinuses, usually to fight allergies or infections.According to the doctors who treated the woman, the non-sterile water that she used it thought to have contained Balamuthia mandrillaris, ?an amoeba that over the course of weeks to months can cause a very rare and almost always fatal infection in the brain.Once in her body, the amoeba slowly went about its deadly work.First, she developed a raised, red sore on the bridge of her nose. Doctors thought it was a rash and prescribed an antibiotic ointment, but that provided no relief. Over the course of a year, dermatologists hunted for a diagnosis.Then, the left side of the woman's body started shaking. She'd experienced a seizure that weakened her left arm. A CT scan showed an abnormal lesion in her brain that indicated she might have a tumor, so doctors sent a sample of tissue for testing.Over the next several days, additional scans revealed that whatever was happening in her brain was getting worse. The mass was growing, and new lesions were starting to show up.Finally, a neurosurgeon at Swedish Medical Center, where the woman was being treated, opened her skull to examine her brain and found that it was infected with amoebae.The US Centers for Disease Control and Prevention rushed the anti-amoeba drug miltefosine to Seattle to try to save the woman's life, but she fell into a coma and died.According to the CDC, most cases of Balamuthia mandrillaris aren't diagnosed until immediately before death or after death, so doctors don't have a lot of experience treating the amoeba and know little about how a person becomes infected.The amoeba was discovered in 1986. Since 1993, the CDC says, there have been at least 70 cases in the United States.As in the Seattle woman's case, the infections are "almost uniformly fatal," with a death rate of more than 89%, according to the doctors who treated her and the CDC.The amoeba is similar to Naegleria fowleri, which has been the culprit in several high-profile cases.In 2011, Louisiana health officials warned residents not to use nonsterilized tap water in neti pots after the deaths of two people who were exposed to Naegleria fowleri while flushing their nasal passages. An official urged users to fill the pots only with distilled, sterile or previously boiled water, and to rinse and dry them after each use."Improper nasal irrigation has been reported as a method of infection for the comparably insidious amoeba," the doctors say in the research paper about the Seattle woman. "This precedent led us to suspect the same route of entry for the ... amoeba in our case."The woman's doctors say they weren't able to definitely link the infection to her neti pot, as the water supply to her home was not tested for the amoeba. They hope her case will let other doctors know to consider an amoeba infection if a patient gets a sore or rash on the nose after rinsing their sinuses.Kristen Maki, a spokeswoman for the Washington State Department of Health, said in an email that "Large municipal water supplies ... have robust source water protection programs" and treatment programs, and she noted that "Well protected groundwater supplies are logically expected to be free of any such large amoeba" such as Balamuthia. 3746
A Manhattan judge ruled on Wednesday that a bar can legally eject and not serve a customer for wearing a hat containing President Donald Trump's campaign slogan "Make America Great Again," the New York Post reported. The judge ruled that there is not a law against political discrimination. In January 2017, Greg Piatek was asked to leave the New York City watering hole The Happiest Hour because he was wearing a "Make America Great Again" hat. Piatek claimed that a bartender told him that they do not serve Trump supporters. According to the New York Post, Piatek claimed in the lawsuit that the incident “offended his sense of being American.”Piatek's attorney argued that his client wore the hat to pay tribute to victims of the September 11, 2001 attacks. Piatek claimed he visited the 9/11 Memorial before going ot the bar. “The purpose of the hat is that he wore it because he was visiting the 9/11 Memorial,” Piatek's attorney Paul Liggieri said, according to the Post. Attorneys for The Happiest Hour claimed that political beliefs are not a protected class. While Liggieri claimed that honoring the 9/11 victims was part of his spiritual beliefs, Judge David Cohen ruled that the hat is not faith-based. 1340

A tense moment, after a 30-minute rescue attempt, as our beaver crawls up our make-shift ramp to safety! pic.twitter.com/6mP4qiUTY1— Southlake DPS (@SouthlakeDPS) November 1, 2020 187
A new study by the Institute for Health Metrics and Evaluation found in the past 10 years, the number of deaths attributed to alcohol has gone up 35 percent. Among women, alcohol-related deaths soared 85 percent.Ron and June Byrd know the pain of watching a loved one struggle with alcohol. They helplessly watched their daughter, Erika, fight it for years.“It would have to be in all caps: helpless. As a father, I was supposed to be able to fix things. I couldn't fix it,” Ron Byrd says.After becoming partner at her law firm, doctors diagnosed Erika with breast cancer. Her parents say she became depressed, and it made her drinking worse.Rehab didn’t work.“Despite our best effort, her friends’ best efforts, her best efforts, it was to no avail,” says Ron. “And it killed her.”Erika died in 2011 at the age of 42.Her death is part of a disturbing, growing trend.“I just know it's a terrible epidemic,” Ron says. “Alcohol kills you in many ways: suicides, accidents, organ failures, disease.”The study by the Institute for Health Metrics and Evaluation found this spike started during the recession and that growing pressure on working mothers might also play a role.“They are, I think, by in large, ashamed of it. Our daughter was,” Ron says. “They do their best to hide it until they can't.”Erika's parents hope the report helps break the stigma associated with alcoholism and leads to more resources devoted to fighting the problem. 1447
A Minnesota school security guard admitted to authorities on Wednesday that he lied about an active shooting after he accidently shot himself, St. Paul, Minnesota police said in a statement The department reported that Brent Patrick Ahlers, 25, was arrested for filing a false police report. St. Paul Police said that Ahlers told investigators that he was handling his gun when it accidently discharged, sending a bullet through his shoulder. He originally claimed that while working a guard shift at St. Catherine University that he was shot in the woods by a suspect. St. Paul Police said that the incident tied down vast resources, including 55 officers, four canines and a Minnesota State Patrol aircraft. “Last night I was talking to you about an incident that shocked the community,” Sgt. Mike Ernster told the Star-Tribune in a news conference. “It had basically 1,800 students held captive in their dorm rooms at St. Catherine’s, it had residents of the Mac-Groveland and Highland Park communities fearing they would be hurt in their homes.” 1107
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