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Atlanta, GA – Centers for Disease Control and Prevention (CDC) is coordinating a multistate investigation of meningitis among patients who received epidural steroid injections (medication injected into the spine).
Several of these patients have had strokes related to the meningitis. In several patients, the meningitis was found to be caused by a fungus that is common in the environment but rarely causes meningitis. This form of meningitis is not contagious.The source of the fungus has not yet been identified, and the cause of infections in the other patients is still being assessed.
Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA
800.CDC.INFO (800.232.4636) TTY: 888.232.6348
FDA Statement on Fungal Meningitis Outbreak
U.S. Food and Drug Administration (FDA) is working closely with the CDC and state partners to investigate an outbreak of meningitis among patients who had received an epidural steroid injection. Investigation into the exact source of the outbreak is still ongoing, but the outbreak is associated with a potentially contaminated medication.
That product is preservative-free methylprednisolone acetate (80mg/ml), an injectable steroid produced and distributed by New England Compounding Center (NECC) in Framingham, Massachusetts. CDC’s interim data show that all infected patients received injection with this product. As of October 3rd, 2012, NECC has voluntarily shut down.
FDA has observed fungal contamination by direct microscopic examination of foreign matter taken from a sealed vial of methylprednisolone acetate collected from NECC. FDA is in the process of conducting additional microbial testing to confirm the exact species of the fungus. As part of the ongoing investigation, FDA will continue to work closely with CDC and state authorities to determine whether this sample taken from the product matches the organism found in patients. We are working diligently to expedite that process.
Users should also notify FDA of any complaints or problems associated with these products. These reports may be made to MedWatch, the FDA’s voluntary reporting program, by phone at 1.800.FDA.1088 or on line at www.fda.gov/medwatch/report.htm .
At A Glance
Is the source of the outbreak known?
What are the states that received the implicated product?
What is meningitis?
What is fungal meningitis?
Is fungal meningitis common after epidural injections?
What are the symptoms of fungal meningitis?
For more information, visit the CDC webpage on the investigation at Multistate Meningitis Outbreak Investigation
TopicsAtlanta GA, Bacteria, California, CDC, Confusion, Connecticut, Dizziness, Epidural Steroid Injections, FDA, Fever, Florida, Framingham MA, Fungus, Georgia, Headache, Idaho, Illinois, Indiana, Maryland, Meningitis, Methylprednisolone Acetate, Michigan, Minnesota, Nausea, NECC, Nevada, New England Compounding Center, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pathogens, Pennsylvania, Rhode Island, South Carolina, Spinal Cord, Stiff Neck, Stroke, Tennessee, Texas, U.S. Centers for Disease Control and Prevention, U.S. Food and Drug Administration, Virginia, Virus, West Virginia
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