Multi-State Meningitis Outbreak - Current Case Count
Persons with Fungal Infections Linked to Steroid Injections, by State
February 25, 2013 3:30 PM EST
CDC continues to receive reports of patients presenting with paraspinal/spinal infections (e.g., epidural abscess, phlegmon, discitis, vertebral osteomyelitis, or arachnoiditis at or near the site of injection). These syndromes have occurred in patients with and without evidence of fungal meningitis.
Because these infections are distinct from meningitis and joint infections, CDC will report case counts, as below, to better describe types of infections being identified in patients exposed to a preservative-free methylprednisolone acetate (MPA) injection, with preservative-free MPA that definitely or likely came from one of the following three lots produced by the New England Compounding Center (NECC) [05212012@68, 06292012@26, 08102012@51].
| State | Total Case Count | Meningitis Only | Meningitis + Paraspinal/Spinal Infection | Stroke w/out Lumbar Puncture Only | Paraspinal/Spinal Infection only | Peripheral Joint Infection Only | Paraspinal/Spinal Infection + Peripheral Joint Infection | Deaths |
|---|---|---|---|---|---|---|---|---|
| TOTAL | 714 | 240 | 138 | 6 | 296 | 32 | 2 | 48* |
| Florida (FL) | 25 | 22 | 1 | 1 | 1 | 0 | 0 | 3 |
| Georgia (GA) | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| Idaho (ID) | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| Illinois (IL) | 2 | 2 | 0 | 0 | 0 | 0 | 0 | 0 |
| Indiana (IN) | 82 | 31 | 16 | 1 | 34 | 0 | 0 | 11 |
| Maryland (MD) | 25 | 24 | 0 | 0 | 1 | 0 | 0 | 3 |
| Michigan (MI) | 250 | 22 | 43 | 1 | 158 | 24 | 2 | 13 |
| Minnesota (MN) | 12 | 10 | 0 | 0 | 2 | 0 | 0 | 1 |
| North Carolina (NC) | 17 | 2 | 2 | 0 | 13 | 0 | 0 | 1 |
| New Hampshire (NH) | 14 | 9 | 0 | 0 | 0 | 5 | 0 | 0 |
| New Jersey (NJ) | 49 | 33 | 8 | 0 | 7 | 1 | 0 | 0 |
| New York (NY) | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
| Ohio (OH) | 20 | 13 | 3 | 0 | 4 | 0 | 0 | 0 |
| Pennsylvania (PA) | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| Rhode Island (RI) | 3 | 1 | 1 | 0 | 1 | 0 | 0 | 0 |
| South Carolina (SC) | 2 | 1 | 0 | 0 | 1 | 0 | 0 | 0 |
| Tennessee (TN) | 150 | 21 | 58 | 3 | 66 | 2 | 0 | 14 |
| Texas (TX) | 2 | 2 | 0 | 0 | 0 | 0 | 0 | 0 |
| Virginia (VA) | 52 | 44 | 5 | 0 | 3 | 0 | 0 | 2 |
| West Virginia (WV) | 5 | 0 | 1 | 0 | 4 | 0 | 0 | 0 |
*Deaths reported are from all causes among persons who meet the case definition and may not be directly attributed to a fungal infection.
Case counts by state are based on the state where the procedure was performed, not the state of residence.
Related Information
- Current Case Counts Map - Multistate Fungal Meningitis Outbreak Investigation
- Previous Case Counts Maps by Date - Multistate Fungal Meningitis Outbreak Investigation
- Map of Healthcare Facilities that Received Three Recalled Lots* of Methylprednisolone Acetate (PF) from New England Compounding Center on September 26, 2012
- Case Definitions for Meningitis and Septic Arthritis
