Saline nasal rinses have become very popular, usually to ease symptoms of nasal congestion during colds, allergies, or sinus infections. It is very important to only use boiled (and cooled), commercially bottled, sterile, or distilled water for nasal rinses to make sure any harmful microbes and organisms in the water are killed. One person in Texas ignored this advice and paid with her life.
The woman used nonboiled water from the RV faucet (in her RV vehicle), which was unfortunately contaminated with the amoeba Naegleria fowleri. This amoeba traveled to her brain and caused primary amebic meningoencephalitis (PAM), also known as Naegleriasis. Which is almost always fatal. In her case, she died within 8 days from the first symptoms.
Authorities were unable to determine if the amoeba was in the RV campsite drinking system or if it was picked up in another site when filling up her RV's water. But, they did point out that drinking water contaminated with Naegleria fowleri does not cause problems. It is only a problem when rinsing contaminated water into the nasal passages and sinuses - the amoeba can then travel to the brain.
As the CDC points out on its web-site (also see page on safe nasal rinsing):
"Germs such as the amebas Naegleria fowleri and Acanthamoeba can grow in public and private water tanks and pipes. They can also grow in the pipes and water heaters in some homes and buildings.
Naegleria fowleri and Acanthamoeba can pose a serious risk to your health if they are in the water you use to rinse your sinuses or nasal passages. If the amebas go up the nose and to the brain, they can cause nearly always fatal brain infections. Although rare, people have died from rinsing their sinuses with tap water containing Naegleria fowleri and Acanthamoeba."
From CIDRAP (The Center for Infectious Disease Research and Policy at the Univ. of Minnesota): Woman dies from brain ameba after flushing nose with RV water
A previously healthy 71-year-old woman in Texas died within 2 weeks of using tap water from a recreational vehicle (RV) for nasal irrigation. She was diagnosed as having primary amebic meningoencephalitis (PAM) a rare, often fatal brain infection caused by the ameba Naegleria fowleri, according to a report yesterday in Morbidity and Mortality Weekly Report. ...continue reading "Woman Dies After Using Contaminated Water For Nasal Rinses"