Fatal exserohilum meningitis and central nervous system vasculitis after cervical epidural methylprednisolone injection

Annals of Internal Medicine

Volumn 157, Issue 11, 2012, Pages 835-836

  Lyons, Jennifer L ^a   Gireesh, Elakkat D ^a   Trivedi, Julie B ^a   Robert Bell, W ^a   Cettomai, Deanna ^a   Smith, Bryan R ^a   Karram, Sarah ^a   Chang, Tiffany ^a   Tochen, Laura ^a   Zhang, Sean X ^a   McCall, Chad M ^a   Pearce, David T ^a   Carroll, Karen C ^a   Chen, Li ^a   Ratchford, John N ^a   Harrison, Daniel M ^a   Ostrow, Lyle W ^a   Stevens, Robert D ^a  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACICLOVIR; AMPHOTERICIN B; CEFEPIME; DOXYCYCLINE; GLUCOSE; METHYLPREDNISOLONE ACETATE; VANCOMYCIN;

ADULT; ANISOCORIA; ATAXIA; CASE REPORT; DIPLOPIA; DYSPHAGIA; ENDOTRACHEAL INTUBATION; EXSEROHILUM; FEMALE; FUNGAL MENINGITIS; FUNGUS; GLUCOSE BLOOD LEVEL; HEADACHE; HEMIPARESIS; HOARSENESS; HUMAN; LETTER; LUMBAR PUNCTURE; NAUSEA; NEUROLOGIC EXAMINATION; NONHUMAN; NUCLEAR MAGNETIC RESONANCE IMAGING; PHYSICAL EXAMINATION; POLYMERASE CHAIN REACTION; PRIORITY JOURNAL; SLURRED SPEECH; VERTIGO;

EID: 84870498442     PISSN: 00034819     EISSN: 15393704     Source Type: Journal    
DOI: 10.7326/0003-4819-158-1-201212040-00557     Document Type: Letter

References (5)

1. Centers for Disease Control and Prevention (CDC). Multistate outbreak of fungal infection associated with injection of methylprednisolone acetate solution from a single compounding pharmacy. MMWR Morb Mortal Wkly Rep. 2012;61:1-4.
2. Adam RD, Paquin ML, Petersen EA, Saubolle MA, Rinaldi MG, Corcoran JG, et al. Phaeohyphomycosis caused by the fungal genera Bipolaris and Exserohilum. A report of 9 cases and review of the literature. Medicine (Baltimore). 1986;65:203-217. [PMID: 3523112]
3. Centers for Disease Control and Prevention (CDC). Exophiala infection from contaminated injectable steroids prepared by a compounding pharmacy-United States, July-November 2002. MMWR Morb Mortal Wkly Rep. 2002;51:1109-1112. [PMID: 12530707]
4. Centers for Disease Control and Prevention. Exophiala infection from contaminated injectable steroids prepared by a compounding pharmacy-United States, July-November 2002. JAMA. 2003;289:291-3. [PMID: 12532960]
5. Centers for Disease Control and Prevention. Multistate Fungal Meningitis Outbreak Investigation: Interim Treatment Guidance for Central Nervous System and/or Parameningeal Infections Associated with Injection of Potentially Contaminated Steroid Products. Accessed at www.cdc.gov/hai/outbreaks/clinicians/guidance_cns.html. on 15 October 2012.