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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 second autopsy on the in-custody death of Adrian Ingram-Lopez concludes the way three Tucson Police Officers restrained him contributed to his death.An earlier autopsy by the Pima County Medical Examiner attributed Ingram-Lopez's death to cocaine intoxication and a heart condition.An autopsy commissioned by Eduardo Coronado, the attorney for Ingram-Lopez family concluded those conditions alone were not enough to have killed the man. It concluded officers continuing to hold Ingram-Lopez face down, handcuffed, and with officers putting their weight on his back led to “positional asphyxia”---inability to breathe because of body position.Police were about to fire Officers Jonathan Jackson, Samuel Routledge, and Ryan Starbuck when the three resigned.RELATED: TIMELINE: What happened after a man died while in TPD custodyThe TPD report which recommended firing the officers noted Ryan Starbuck had more extensive medical training than the other two. He is a licensed Emergency Medical Technician. The Arizona Health Department shows an EMT license for a Ryan Starbuck still active. TPD says Starbuck has been an EMT for 14 years.Police body cameras show, when other officers arrived, they recognized Ingram-Lopez was in medical distress and had him re-positioned to allow better breathing. Officers called an ambulance and administered an antidote for opioid overdose but that drug does not work on cocaine. Ambulance EMT’s pronounced Ingram Lopez dead.The family’s attorney hired a former Maricopa County Medical Examiner to do an independent autopsy. It conflicts with the Pima County Medical Examiner’s ruling on death.The Pima County report basically attributes the death to cocaine and a heart condition and mentions how Ingram-Lopez was restrained. It says, in part:“...the cause of death is ascribed to sudden cardiac arrest in the setting of acute cocaine intoxication and physical restraint with cardiac left ventricular hypertrophy as a significant contributing condition.”The alternative report says the cocaine and the heart condition were not serious enough to have killed by themselves. It puts more blame on how the officers restrained Ingram-Lopez and say, “his death is most consistent with asphyxia due to compromised airway which is best explained by a facedown position restricting his breathing.”Attorney Eduardo Coronado says instead of putting their weight on Ingram-Lopez back, officers should have realized he was co-operating and let him sit up and breathe.“What I can say is that there was a complete lack of empathy, a complete lack of humanity, a total disregard for his needs and just indifference, complete indifference.”Now the family says it wants a thorough criminal investigation of what the three former officers did and it’s considering a civil lawsuit.Report details TPD officer misconduct in death of Carlos Ingram-LopezKGUN's Craig Smith first reported this story. 2918

A vintage plane crashed in the Swiss Alps on Saturday, killing all 20 people on board, police said.The mid-century plane, a Junkers JU-52, crashed in the Piz Segnas mountain range, near the Austrian border.All 17 passengers and three crew members died in the crash, which happened around 5 p.m. local time. They were aged between 42 and 84. 348

A suburban Chicago police officer responding Sunday to a shooting at a bar killed a security guard who was just "doing his job," an attorney for the victim's family said.An officer from Midlothian, a Chicago suburb, fatally shot Jemel Roberson, a 26-year-old security guard working at the bar, Cook County Sheriff's Office spokeswoman Sophia Ansari told CNN.Several law enforcement agencies responded to the shooting around 4 a.m. at Manny's Blue Room Lounge in Robbins, about 20 miles south of Chicago, Ansari said. Three people and an alleged shooter were injured, she added.Then, after Roberson had apprehended an alleged gunman, the Midlothian officer shot Roberson outside the bar, according to a federal lawsuit filed Monday that calls the fatal shooting "excessive and unreasonable" and claims it violated Roberson's civil rights.Witnesses said security had asked several drunk men to leave the bar, and at least one person returned to the bar and opened fire, CNN affiliate WGN reported. A bartender was among the victims of that shooting, according to the lawsuit.After the shooting, Roberson "had somebody on the ground ... with his knee in back, with his gun in his back like, 'Don't move,'" Adam Harris, a witness, told WGN."We all yelled. 'He's a security. He's a security,' and without ... giving any thought, they shot him," Harris told the station. "The vest said security as well, ... and they shot him in the side." 1441

A Utah man died flying a Cessna 535 citation jet into his home, where his wife and her son were, early Monday, hours after he was arrested for domestic violence, police said.The incident began at American Fork Canyon, about 35 miles south of Salt Lake City, when the Utah County Sheriff's Office received calls about a domestic violence situation between Duane Youd and his wife on Sunday night, according to Payson Police Department spokeswoman Sgt. Noemi Sandoval."They had been drinking and an argument broke out and he started hitting her and some witnesses called in to police to say a guy was hitting a woman," Sandoval said on Monday.Youd was arrested and was bailed out Monday morning between 12:30 a.m. and 1 a.m., Sandoval said. When Youd asked if he could go back to his home and pick up some belongings, he was escorted by an officer and left the home in his vehicle, police said."He then evidently went to the airplane" after leaving his home, Sandoval said.Around 2:30 a.m., Payson authorities received a call that a plane had crashed into Youd's home.Youd was a professional pilot, Sandoval said. He flew for VanCon, a construction company that owned the plane. Youd was the only person who flew it, Sandoval said.Youd's wife and her son were in the home at the time of the crash, but were able to escape Sandoval said.Neighbors who saw the crash said they couldn't believe it. Slade Buhler told CNN affiliate KTVX-TV?he heard the plane circling the neighborhood around 2:30 a.m. Monday."It just got lower and lower. I said 'Oh my gosh it's going to hit the mountain. It's going to hit the mountain. It's getting lower.' You can just see it getting lower. All of a sudden a huge ball of orange fire. I couldn't believe it," said Buhler.Public records obtained by CNN affiliate KSTU-TV showed Youd lived at the home where the plane crashed, and he and his wife had bought the home last year. Payson police confirmed there have been previous domestic violence incidents at the home, KSTU reported. 2033