Lillian Smart, an 8-year-old girl from Ruston, Louisiana, died Saturday at a Ruston hospital from a rare brain infection after contracting Naegleria fowleri, an amoeba that can infect the brain through warm bodies of water, according to her family and state health officials. Her death comes just one day after the community celebrated her eighth birthday with a fundraiser.
Illness and Hospitalization at Lake Claiborne
According to the Louisiana Department of Health (LDH), the infection was most likely acquired while the patient was swimming in Lake Claiborne shortly before becoming ill. State health officials announced that a Louisiana resident had been hospitalized in the pediatric intensive care unit after contracting the pathogen, though health authorities did not publicly name Lillian as the patient. Her family subsequently confirmed her identity and condition on the “Love for Lillian” Facebook page.
“The injuries to her brain were too severe for her little body to recover from,” the Smart family said in a statement posted Sunday morning. “Everyone did everything they could to keep her here. We are heartbroken and honestly do not know what to do next.”
Understanding Naegleria fowleri and PAM
Naegleria fowleri causes primary amoebic meningoencephalitis (PAM), an extremely rare brain infection. According to the U.S.

Health authorities emphasize that people cannot become infected by swallowing contaminated water, and the amoeba is not found in saltwater or properly chlorinated swimming pools. Early symptoms of PAM usually appear about five days after infection and include headache, fever, nausea, and vomiting. As the infection progresses, symptoms can include a stiff neck, seizures and coma, leading to death within about one to two weeks.
Community Support and Louisiana Statistics
Just six days after Lillian was admitted to the hospital on August 15, the Ruston community rallied to support her family by organizing a fundraiser on what would have been her eighth birthday, featuring a birthday memory jar for loved ones to share messages. Local business owners remembered her as a joyful child who always had a smile.

“She’s just always a happy child. She’s just as happy a place she goes,” Patricia Willis, owner of The Children’s Shoppe & Peach Lemonade, told KNOE. “Every time you see her, she has a smile on her face.”
State health records cited by Fox News show that Louisiana has recorded three previous deaths associated with Naegleria fowleri since 2011. Nationally, the CDC documented two PAM cases last year. Data from the agency indicates that about 97% of people who develop PAM die from the infection, with roughly 173 infections documented over roughly the past 90 years.
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