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Louisiana 8-year-old dies after rare amoeba infection linked to lake swim

Monday, August 24, 2026 · 2 sources

Lillian Smart of Ruston, Louisiana, died Saturday after her family said she contracted Naegleria fowleri, a rare amoeba that can cause a deadly brain infection. State health officials said a Louisiana case was most likely tied to swimming in Lake Claiborne, Fox News reported.

RUSTON, La. - An 8-year-old Louisiana girl died Saturday after her family said she contracted Naegleria fowleri, the rare amoeba that can cause a usually fatal brain infection, Fox News reported.

Lillian Smart died at a Ruston hospital one day after her eighth birthday. In a Facebook statement, her family said brain injuries were too severe for her body to recover and that everyone had done everything possible to keep her alive.

The Louisiana Department of Health announced Wednesday that a state resident had been hospitalized with Naegleria fowleri. Officials said the infection was most likely acquired while swimming in Lake Claiborne in northern Louisiana shortly before the illness began. The department did not publicly name Lillian in that bulletin. Her family identified the amoeba as the cause of her intensive-care illness.

Naegleria fowleri causes primary amoebic meningoencephalitis, or PAM. The microscopic organism can travel from contaminated warm freshwater up the nose to the brain. People do not get infected by swallowing the water. It is not found in saltwater or in properly chlorinated pools.

Symptoms often start with headache, fever, nausea, and vomiting, then can move to a stiff neck, seizures, and coma. They typically appear about five days after infection. Death can follow within one to two weeks. The CDC says about 97 percent of people who develop PAM die. Of 173 U.S. infections logged over about 90 years, nearly 91 percent occurred in July and August. The CDC reported two PAM cases nationwide last year.

Louisiana records list three earlier Naegleria-related deaths in the state since 2011, including cases tied to tap-water sinus rinses and a slip-and-slide. Health officials urge swimmers to keep heads above warm lake water when possible, avoid digging in shallow sediment, and never use untreated tap water in neti pots.

The 50+ takeaway: Naegleria enters through the nose, not by swallowing water. Avoid stirring warm freshwater sediment up the nose; use distilled or boiled water for sinus rinses.

Go Deeper

What is Naegleria fowleri?

A microscopic amoeba found in warm freshwater that can cause a rare brain infection called PAM if contaminated water goes up the nose.

How did Lillian Smart get sick?

Her family said she had the infection. State officials said a Louisiana case was most likely linked to swimming in Lake Claiborne.

Can you get it by drinking lake water?

No. Infection happens when water containing the amoeba enters the nose, not when it is swallowed.

How common is this?

It is extremely rare but deadly. The CDC says about 97 percent of PAM cases end in death, and most U.S. cases historically occur in July and August.

What lake safety steps help?

Avoid forcing warm freshwater up the nose, skip diving in shallow muddy areas when water is hot, and use only distilled, sterile, or boiled-and-cooled water for sinus rinses.