Steroid-related meningitis cases rise to 47

Steroid-related meningitis cases rise to 47 Tennessee, Virginia, Maryland, Florida, North Carolina and Indiana had previously reported cases. Medical meningitis On Friday, Michigan joined the list. Meningite b vacina preco Check out this story on USATODAY.com: http://usat.ly/T5Au5p

The Aspergillus fumigatus fungus is blamed for causing a meningitis outbreak. Meningitis vaccine b (Photo: Libero Ajello, CDC, via AP) Story Highlights

The number of people sickened by a nation-wide meningitis outbreak has grown to 47 patients in seven states, health officials said Friday, but potentially hundreds more could be affected.


The number of deaths — five — has remained the same. Fever in meningitis Tennessee, Virginia, Maryland, Florida, North Carolina and Indiana had previously reported cases. Meningitis b vaccine clinic On Friday, Michigan joined the list, with four cases.

The outbreak of fungal meningitis has been tied to steroid shots used to treat back pain. Meningitis how to test The steroid was custom-made by a specialty pharmacy in Massachusetts, New England Compounding Center. Meningitis symptoms in adults The Centers for Disease Control and Prevention on Friday also published the names of clinics that received the injections on its website.

“All patients who may have received these medications need to be tracked down immediately,”said Benjamin Park, medical officer, at the CDC’s mycotic diseases branch. Meningitis symptoms in toddlers “It is possible that if patients with infection are identified soon and put on appropriate antifungal therapy, lives may be saved.”

Infected patients have developed a variety of symptoms, which have set in one to four weeks after their injections. Meningococcal meningitis rash These include fever, a new or worsening headache, nausea and problems similar to those seen in a stroke.

CDC officials say anyone who had an epidural injection since July should contact a doctor if they have these symptoms, and also if they have a stiff neck, sensitivity to light, slurred speech or newly developed weakness in any part of the body.

Health inspectors found fungus in at least one sealed vial of the steroid at the company’s facility, according to the Food and Drug Administration.

The Massachusetts pharmacy has voluntarily shut down. Incubation period of meningitis The company has recalled the steroid which was sent to clinics in 23 states. Symptoms meningitis child The government urged doctors not to use any of the company’s products.

The outbreak is already interrupting medical care for some patients.

Anders Cohen, chief of neurosurgery and spine surgery at the Brooklyn Hospital Center in New York, says he advises patients in pain to wait until the CDC’s investigation is completed before getting steroid injections.

Steroid injections are an “extremely common” treatment for lower back pain, such as sciatica caused by a herniated disk, says William Blau, a professor of anesthesiology at the University of North Carolina’s School of Medicine. Meningitis research foundation “I’m guessing there are hundreds or thousands every day,” Blau says.

Injections are a good alternative to narcotics for people with chronic pain, because they are very safe, effective and pose no risk of addiction, Blau says. Viral meningitis symptoms in child The risk of complications is a fraction of 1%, he says. Meningitis medical definition “We give about three injections a day, and we’re just one clinic,” says Blau, who says people with long-term pain may need two or three injections a year.

Epidural steroid injections are administered somewhat like the epidural pain relievers given to many women in labor, injected at the base of the spine near the spinal fluid, Blau says. Meningite grave Women in labor, however, receive continuous pain relief through a catheter, rather than a one-time steroid shot.

In some ways, epidurals have advantages over taking steroid pills. Meningitis shot Because they’re shot directly into the spinal area, they tend to cause fewer side effects than oral medications, which circulate throughout the body. Incubation period for meningitis Some of the main side effects from long-term steroid use are immune suppression and a worsening of osteoporosis, which can increase the risk of bone fractures, Blau says.

The tainted steroids “are such a potential health hazard for patients because the medication is site specific, delivered to the spinal canal, and nerves in the spinal cord,” Cohen says. Meningitis complications Patients who choose to skip epidural medications for now “can ask their physicians about other alternatives such as oral pain medications. Meningitis b vaccine booster I’ve received calls from several patients, including one who came into the office to check his lot number. Bacterial meningitis recovery I advise patients to call their physicians to make sure their lots are cleared.”

Cohen says the outbreak highlights stress in the pharmaceutical industry, which sometimes can’t produce enough of certain medications.

Companies who can’t keep up with demand may turn to compounding pharmacies, which make their own medications from basic ingredients.

“Due to the high demand of certain medications, pharmaceutical companies are outsourcing production, which sometimes leads to problems, because compounders are not under the same stringent regulatory guidelines as the pharmaceutical companies,” Cohen says.

Tennessee has been hit the hardest in the meningitis outbreak. Can you cure meningitis The number of Tennesseans affected has risen from 25 to 29, John Dreyzehner, the state’s commissioner of health, said Friday.

The family of a Tennessee women who is in intensive care with meningitis says she has some blood on her brain, but is conscious and on a good path for recovery. Meningite o que e A fungus has been blamed for causing a meningitis outbreak that is spreading across t…

The fungus blamed for the outbreak, Aspergillus, is very common and found in leaf mold, says William Schaffner, an infectious disease expert at the Vanderbilt University School of Medicine in Nashville.

The fungus floats in the air, indoors and outdoors — and only very rarely makes people sick.

People inhale Aspergillus fungus spores all the time without any problem. Causes of spinal meningitis It’s nearly impossible to avoid, because it is found in such places as decaying leaves, trees, grain, soil, household dust, heating ducts and building materials. Meningitis vaccine for babies The fungus can also cause skin infections if it enters a break in the skin.

It’s being blamed for meningitis that occurred after a steroid contaminated with it was injected into the spinal column of some patients. Meningitis vaccine booster That provides a rapid way for the fungus to cause a serious infection. Meningitis booster It’s not clear how the fungus got into the medication.

Usually, after somebody inhales Aspergillus spores, they’re destroyed by the body. Meningitis and septicaemia But people with cystic fibrosis or asthma may have problems with it, wheezing and coughing. Meningite como se pega A more severe infection can arise in people with weakened immune systems, like those with HIV, the virus that causes AID; those who’ve had transplant surgery; or patients getting chemotherapy for cancer. Meningite a c w y This invasive infection can cause fever, chest pain and shortness of breath.

It’s hard to tell exactly how common Aspergillus infections are, but one study suggests it may affect just one or two people per 100,000 every year.

Contributing: The Associated Press, The (Nashville) Tennessean

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