Fungal Contamination of Methylprednisolone Causing Recurrent Lumbosacral Intradural Abscess

Fungal meningitis transmitted through injections of methylprednisolone contaminated with Exserohilum rostratum affected 753 persons and caused 61 deaths in the United States in 2012. We report a case of infection recurrence after 24-months with the unique manifestation of an intradural fungal absces...

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Veröffentlicht in:	Emerging infectious diseases 2017-03, Vol.23 (3), p.552-553
Hauptverfasser:	Renfrow, Jaclyn J, Frenkel, Mark B, Hsu, Wesley
Format:	Artikel
Sprache:	eng
Schlagworte:	Abscess - drug therapy Abscess - etiology Abscess - microbiology Aged Amphotericin B - therapeutic use Antifungal agents Antifungal Agents - therapeutic use Ascomycota - isolation & purification Care and treatment contaminated methylprednisolone injection Contamination Drug Contamination epidural steroids Female fungal abscess Fungal Contamination of Methylprednisolone Causing Recurrent Lumbosacral Intradural Abscess fungi Glucocorticoids Health aspects Humans Long term care Meningitis Meningitis, Fungal - drug therapy Meningitis, Fungal - etiology Meningitis, Fungal - microbiology Methylprednisolone Methylprednisolone - administration & dosage Mycoses Recurrence Recurrence (Disease) Research Letter Steroids (Organic compounds) United States Voriconazole - therapeutic use
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Zusammenfassung:	Fungal meningitis transmitted through injections of methylprednisolone contaminated with Exserohilum rostratum affected 753 persons and caused 61 deaths in the United States in 2012. We report a case of infection recurrence after 24-months with the unique manifestation of an intradural fungal abscess. Fungal disease should remain on the differential diagnosis list for previously exposed patients.
ISSN:	1080-6040 1080-6059
DOI:	10.3201/eid2303.161334