Multistate Fungal Meningitis Outbreak - Current Case Count

December 17, 2012 4:30 PM EST

Previous Case Count Maps

Notice

The next update to case counts will be on December 28, then resuming every Monday beginning January 7.

Cases with Fungal Infections Linked to Steroid Injections

Map of United State for Case Counts by State

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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].

Cases and Deaths with Fungal Infections Linked to Steroid Injections
State	Total Case Counts	Meningitis (with or without other infection)*	Stroke without Lumbar Puncture only	Paraspinal/Spinal Infection only	Peripheral Joint Infection only	Paraspinal/Spinal + Peripheral Joint Infection	Deaths
TOTALS	620	367	8	218	26	1	39
Florida (FL)	25	20	3	2	0	0	3
Georgia (GA)	1	1	0	0	0	0	0
Idaho (ID)	1	1	0	0	0	0	0
Illinois (IL)	2	2	0	0	0	0	0
Indiana (IN)	68	47	1	20	0	0	7
Maryland (MD)	25	24	0	1	0	0	2
Michigan (MI)	223	64	1	137	20	1	10
Minnesota (MN)	12	10	0	2	0	0	0
North Carolina (NC)	5	3	0	2	0	0	1
New Hampshire (NH)	13	9	0	0	4	0	0
New Jersey (NJ)	43	39	0	4	0	0	0
New York (NY)	1	0	0	1	0	0	0
Ohio (OH)	19	16	0	3	0	0	0
Pennsylvania (PA)	1	1	0	0	0	0	0
Rhode Island (RI)	3	2	0	1	0	0	0
South Carolina (SC)	1	1	0	0	0	0	0
Tennessee (TN)	124	76	3	43	2	0	14
Texas (TX)	2	2	0	0	0	0	0
Virginia (VA)	51	49	0	2	0	0	2

* Some patients with meningitis had other infections diagnosed in addition; to date, all of these other infections have been paraspinal/spinal infections. The patient reported to have a peripheral joint infection and a spinal/paraspinal 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.