664. Are Thousands of Medical Cures Hiding in Plain Sight?
Freakonomics Radio
Freakonomics Radio + Stitcher
4.5 • 32.8K Ratings
🗓️ 20 February 2026
⏱️ 52 minutes
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| 0:00.0 | There is a horrible infectious disease that you have probably never heard of. |
| 0:09.0 | It's called balaumuthia. |
| 0:10.6 | It's basically your brain-eating amoeba. |
| 0:13.3 | They don't really know how it's transmitted probably through some sort of soil exposure. |
| 0:17.7 | It causes encephalitis, which is swelling in parts of the brain. It can kill you in |
| 0:24.3 | relatively short order. It's extremely rare, and so there's been very little study of it. |
| 0:30.0 | That is Heather Stone. She's a health science policy analyst in the Food and Drug Administration. |
| 0:34.9 | The FDA has not approved any treatments for balamuthia, |
| 0:38.6 | but that doesn't necessarily mean there aren't any treatments. |
| 0:43.1 | Three or four years ago, a clinician in San Francisco at University of California |
| 0:49.0 | treated the first patient with a drug called nitroxylene, |
| 0:53.0 | which had been approved in Europe for 50 years |
| 0:55.7 | for urinary tract infections. One pre-clinical study had shown off-the-chart amoebicidal activity |
| 1:02.0 | that nobody had ever known about. You might not think that a UTI drug could treat a brain-eating |
| 1:07.4 | amoeba, but biochemistry can surprise you. |
| 1:11.6 | A couple of years later, I got a call from a mother of a young girl who had been infected |
| 1:18.1 | with Balamuthia and was not expected to survive. And she was desperately trying to get a hold |
| 1:23.1 | of nitroxylene. I was able to help get what's called an emergency I&D, an investigational new drug |
| 1:30.5 | application, because the drug is not approved in the U.S., but it's approved in Europe. You have to |
| 1:36.3 | get special permission from the FDA to use the drug. They sent the drug, and Elena had a pretty |
| 1:41.5 | remarkable recovery. Now, I mean, it's not a miracle cure. There have been |
| 1:46.9 | other patients who have received the treatment who have not survived. But for a disease that had a 90% |
... |
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