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Notice to clinicians : Continued vigilance urged for fungal infections among patients who received contaminated steroid injections
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03/04/2013
[PDF-2.40 MB]
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Alternative Title:Continued vigilance urged for fungal infections among patients who received contaminated steroid injections
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Journal Article:HAN
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Description:March 4, 2013, 16:30 ET (4:30 PM ET)
CDCHAN-00342
CDC continues to receive new reports of fungal infection among patients who were given injections of contaminated methylprednisolone acetate (M PA1) from the New England Compounding Center (NECC) in Framingham, Mass. Most of these recent cases have been localized spinal or paraspinal infections (e.g., epidural abscesses) in patients, although new cases of meningitis or arachnoiditis also have been reported. Because many of these new cases are among patients with minimal symptoms, CDC is reemphasizing the recommendation for clinicians to remain vigilant for fungal infections, especially in patients with mild or even baseline symptoms, and consider evaluation with magnetic resonance imaging (MRI) if clinically warranted. This Health Alert Network (HAN) notice provides the following:
• Information about the current status of the outbreak;
• Recommendations for clinical management and follow-up of exposed patients;
• Information about new revisions to web-based interim clinical guidance (http://www.cdc.gov/hai/outbreaks/clinicians/guidance cns.html); and
• Notice of an upcoming CDC conference call to provide clinicians with additional diagnostic and treatment information.
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