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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 small explosion from the Halema'uma'u crater in Hawaii's Kilauea volcano at about midnight local time created an ash cloud that reached up to 10,000 feet, according to an alert from the Hawaiian Volcano Observatory.More explosive events like the one on Friday could make for minor amounts of ashfall downwind at any time, and volcanic ash emissions remain high.In addition, fast-moving lava crossed a road and threatened dozens of homes, prompting National Guard helicopters to airlift residents from Hawaii's lower Puna area.Hawaii officials warned residents in affected areas to shelter in place Friday night and await further instructions. The lava forced the closure of Pohoiki Road, cutting off at least 40 homes, the Hawaii County Civil Defense said.The agency urged residents near Highway 137 to be ready for voluntary evacuations should the threat grow."With fresher, hotter magma, there's the potential that the lava flows can move with greater ease and therefore cover more area," US Geological Survey geologist Janet Babb told CNN affiliate Hawaii News Now.Resident Ikaika Marzo said the lava flow has left him and his neighbors rattled. It sounds like 10 or 20 jets taking off from your backyard at the same time, he told the affiliate."It's been like hell," he said. "It's like huge grenades going off. It shakes the whole community."Volcanic gas emissions at the summit remain high and additional explosions are possible at any time, the observatory said. 1479

A relatively new term we're hearing to help stop the spread of coronavirus is “support bubble.”It’s essentially described as a safer way to socialize and support each other. It’s when family members in different houses or close friends agree to socialize in person, but only with each other to limit the risk of infection.“So, when you join a bubble, you're taking on additional risk and the amount of risk you're taking on is that difference between you and the person with the highest risk in the group,” said Cyrus Shahpar, an epidemiologist with Resolve to Save Lives. “So, it’s important to be vigilant and trust those in the bubble.”Part of a support bubble agreement is that everyone practices the same things outside the bubble, including not forming other bubbles. You should also agree to how long the bubble will last. Obviously, the less people, the lower the risk.It’s also a good strategy for families that need help with things like childcare or taking care of an aging relative.Even professional sports teams and other businesses are somewhat following this theory, setting up things like safe hotels and doing things like testing anyone that comes in.“Then, you tell them they can’t leave the place and inside have to be careful about interaction, then you could theoretically say that’s a safer place than outside the hotel,” said Shahpar.Support bubbles could also help limit virus spread even if someone inside the group were to get the virus, because you already know who the close contacts are.“As we navigate through uncharted waters, we don’t know what’s going to happen. We don’t know how long it’s going to last. So, if this helps us maintain our sanity throughout this pandemic, I think it’s a good idea,” said Shahpar.Other countries and some U.S. counties using the support bubble model are seeing success in lowering cases. 1861

A new report from apartmentlist.com shows that more and more millennials are relying on family to help pay for rising housing costs.Since 2000, home prices have increased by 73 percent and rent prices have increased by 61 percent while incomes for younger households have only increased by 31 percent, according to the website.Nearly eight percent of non-student millennials said they’ve received rent money from family members while more than 17 percent of millennials said they expect their family to help them make a down payment on a home.RELATED: Del Mar Mesa ranked best place in California to raise a familyThe website noted that it's not just millennials getting help with rent. With rent hitting new highs all over the country, two percent of renters over 40 receive help from their parents.  824

A potentially catastrophic Category 4 Hurricane Michael has made landfall as the strongest hurricane to hit the Florida Panhandle in recorded history, with its winds and storm surge wreaking havoc along the shore.Michael's extremely dangerous center crossed near Florida's Mexico Beach on Wednesday afternoon with sustained winds of 155 mph, the National Hurricane Center said.Photos: Hurricane Michael to slam US coastEarlier, Gov. Rick Scott called Michael "the worst storm that our Florida Panhandle has seen in a century."Streets were flooding in the Panhandle city of Apalachicola. In Panama City Beach, winds of about 100 mph furiously whipped the trees in the early afternoon as siding ripped from a building got caught against a fence.Earlier in that oceanside city, video from a meteorologist showed new construction collapsing in high winds.Among the concerns: Flash-flooding with heavy rain; life-threatening storm surges up to 14 feet high; and devastating winds, not just in the Panhandle, but southern Alabama and Georgia. 1044