60-Year-Old Woman Temporarily Loses the Ability to Communicate After Consuming Seafood with Worms Inside

Mar. 15, 2025

MRI brain scan of woman who consumed worms in her seafood (left); Stock image of crawfish.Photo:JAMA Neurology;Getty

60-year-old woman has altered mental status After Worms in Seafood Burrow into her Brain

JAMA Neurology;Getty

A woman ate crayfish (also known as crawfish) with worms burrowed into it and subsequently suffered an adverse medical reaction.

According to a report published in theJournal of the American Medical Association, the 60-year-old woman arrived at the hospital following three days of “persistent fever,” which had raised to 38 degrees Celsius or 100.4 degrees Fahrenheit. At the time of her arrival, she couldn’t communicate normally. Prior to the incident, she was described as healthy, per the report.

After determining her limbs' muscular function, tone and reflexes were normal — despite the patient exhibiting a stiffness in her neck — an MRI scan showed “multiple white matter lesions” in the brain. She was initially diagnosed with purulent meningitis, and though she was treated with medicine meant to reduce her fever and treat infection, her symptoms showed no improvement.

MRI brain scan of woman who consumed crayfish with worms.JAMA Neurology

60-year-old woman has altered mental status After Worms in Seafood Burrow into her Brain

JAMA Neurology

Doctors facilitated another MRI, this time with contrast, and found the white matter in her brain significantly increased over the two weeks. They also conducted a blood test which showed a higher-than-normal level of eosinophils — which sometimes indicates a parasitic infection, according to the study.

Stock image of low country boil with crawfish.Getty

Crawfish Boil with Corn on the Cob and Potatoes

Getty

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The rat lungworm is considered the greatest cause of eosinophilic meningitis, and is sustained primarily from “ingestion of third-stage larvae in undercooked intermediate hosts,” such as the crayfish, in the woman’s case. However, the rat lungworm generally involves a different portion of the brain and “rarely causes simple white matter lesions.”

source: people.com