A 63-year-old woman arrived at a hospital in pain. She had abruptly lost vision in her right eye. As doctors got to work, the series of findings that followed revealed not just bad news for her, but an alarming revelation of how infections can evolve within a patient.

The woman's remarkable case was reported this week in the New England Journal of Medicine. According to her doctors, initial magnetic resonance imaging scans of her brain quickly identified the key problem. The imaging indicated inflammation in her right eye, but also picked up lesions in her brain. Specifically, the imaging suggested problems in her parietal lobe, which is a hub for processing sensory information.

The doctors suspected she had a brain abscess. Laboratory results of her blood and urine samples suggested an infection as well as kidney problems. Doctors decided to open up her skull for a brain biopsy. Inside, the surgical team was met with pus. Meanwhile, doctors worked to identify the bacteria found in two urine samples.

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Until about 60,000 years ago, diminutive hominin cousins, Homo floresiensis (affectionately nicknamed Hobbits for obvious reasons), shared the island of Flores with Komodo dragons, pygmy elephants, and giant rats.

Based on the presence of hominin and pygmy elephant bones in the same layers of cave sediment, it originally looked like the Hobbits had hunted and butchered dwarf elephants—an impressive feat for such a tiny hominin. But according to University of Tübingen anthropologist Elizabeth Veatch and her colleagues, it was the Komodo dragons that were the hunters, while the Hobbits only showed up to scavenge what was left.

If Veatch and her colleagues are right, their findings may challenge some of the assumptions we’ve made about Homo floresiensis—and about which hominin species was the first to venture into the wider world beyond Africa.

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