A North Carolina teenager is critically ill after contracting Naegleria fowleri, the rare “brain‑eating amoeba,” according to an Aug. 27 press release from the North Carolina Department of Health and Human Services (NCDHHS). The teen, who was not identified, is receiving medical care, the agency said.
What officials say
Dr. Zack Moore, a state epidemiologist with NCDHHS, said, “While these infections are very rare, this is an important reminder that this amoeba is present in our state and across the U.S. There are steps people can take to reduce their risk of infection while swimming during the warmer months.” He added, “Our hearts go out to this teen’s family, friends, and loved ones as they navigate this difficult time.”
Where it lives and how it infects
NCDHHS notes the amoeba is typically found in warm freshwater such as lakes, rivers, and hot springs. The Centers for Disease Control and Prevention (CDC) says it can also be found in poorly maintained swimming pools, splash pads, and tap water.
According to NCDHHS, infection occurs when contaminated water enters the nose and travels to the brain, causing primary amebic meningoencephalitis (PAM). Reported symptoms include headache, fever, nausea, vomiting, stiff neck, loss of balance, and hallucinations.
By the numbers
The CDC reports 167 U.S. PAM cases between 1962 and 2024. The disease is fast‑progressing and usually fatal, with 97% of people dying from PAM, according to CDC data.
Recent fatal case in Louisiana
Scripps News reported that 8‑year‑old Lillian Smart of Louisiana died the weekend of Aug. 22 after contracting Naegleria fowleri. The Louisiana Department of Health said the child was likely infected while swimming in Lake Claiborne.
Reducing risk
The CDC advises wearing nose clips when jumping or diving into freshwater. NCDHHS emphasized that, while rare, the amoeba is present and precautions during warmer months can reduce risk.
