Multistate Fungal Meningitis Outbreak - Current Case Count
November 29, 2012 2:00 PM EST
Notice
Going forward, we will be providing case count updates on Mondays.
Cases with Fungal Infections Linked to Steroid Injections
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 Counts | Meningitis (with or without other infection)* | Stroke without Lumbar Puncture only | Paraspinal/Spinal Infection only | Peripheral Joint Infection only | Deaths |
|---|---|---|---|---|---|---|
| TOTALS | 510* | 360 | 8 | 128 | 14 | 36 |
| Florida (FL) | 24 | 19 | 3 | 2 | 0 | 3 |
| Georgia (GA) | 1 | 1 | 0 | 0 | 0 | 0 |
| Idaho (ID) | 1 | 1 | 0 | 0 | 0 | 0 |
| Illinois (IL) | 2 | 2 | 0 | 0 | 0 | 0 |
| Indiana (IN) | 57 | 49 | 1 | 7 | 0 | 6 |
| Maryland (MD) | 23 | 22 | 0 | 1 | 0 | 1 |
| Michigan (MI) | 178 | 65 | 1 | 102 | 10 | 10 |
| Minnesota (MN) | 13 | 11 | 0 | 2 | 0 | 0 |
| North Carolina (NC) | 3 | 3 | 0 | 0 | 0 | 1 |
| New Hampshire (NH) | 13 | 9 | 0 | 0 | 4 | 0 |
| New Jersey (NJ) | 34 | 33 | 0 | 1 | 0 | 0 |
| New York (NY) | 1 | 0 | 0 | 1 | 0 | 0 |
| Ohio (OH) | 18 | 17 | 0 | 1 | 0 | 0 |
| Pennsylvania (PA) | 1 | 1 | 0 | 0 | 0 | 0 |
| Rhode Island (RI) | 3 | 2 | 0 | 1 | 0 | 0 |
| South Carolina (SC) | 1 | 1 | 0 | 0 | 0 | 0 |
| Tennessee (TN) | 84 | 73 | 3 | 8 | 0 | 13 |
| Texas (TX) | 2 | 2 | 0 | 0 | 0 | 0 |
| Virginia (VA) | 51 | 49 | 0 | 2 | 0 | 2 |
* Some patients with meningitis had other infections diagnosed in addition; the majority of these other infections were spinal/paraspinal infections, although one patient had both meningitis and a peripheral joint infection. The patient with meningitis and a peripheral joint infection had both a joint injection and a spinal/paraspinal injection.
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
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