CDC: Third death reported following fungal meningitis outbreak in Matamoros According to the investigation performed, a total of 547 people had these procedures between January and April 2023 in the concerned two private clinics, of whom 304 (56%) reside in Mexico, 237 (43%) in the United States, and one in Canada. Patients affected by tainted steroid injections from the New England Compounding Center continue to receive treatment for their infections and clinicians should continue to monitor patient recovery. Currently there are 172 cases under investigation, 18 suspected cases, 10 probable cases, 6 confirmed cases, and 4 deaths. June 27, 2023 at 3:59 p.m. EDT (Lucille K. Georg/CDC) Gift Article Share The death toll has risen to six in an outbreak of fungal meningitis that's tied to surgical procedures in a city. Each year, more than a million people from the USA participate in medical tourism. See CDCs Vaccine Safety site for more information. The Texas Department of State Health Services (DSHS), the Centers for Disease Control and Prevention (CDC), and local public health departments are investigating an outbreak of fungal meningitis among patients hospitalized in Texas after undergoing surgical procedures under epidural anesthesia in Matamoros, Mexico. Available information suggests that it is likely that not everyone who got an injection will get sick. Multistate Outbreak of Fungal Meningitis an Other Infections. In severe cases, arachnoiditis may cause paralysis of the lower limbs. Generally, infections are considered cured when a persons symptoms improve and their laboratory test values return to normal. IPC measures in health facilities should be reinforced to prevent healthcare-associated transmission. Fungal Meningitis | CDC . If you are a clinical or public health laboratory professional. The response measures include: Fungal meningitis cases following a medical/surgical procedure are very infrequent and unusual. Do I still need to be concerned? +1 551 285 1373 US, One-tap mobile: Information for Patients People at risk for fungal meningitis should be tested and treated right away. Its imperative that we try to reach them to encourage them to go in and see their doctor and, if necessary, get tested., Dont forget your sunscreen Utah still has the highest skin cancer rates in the nation. A total of 547 people had procedures utilizing spinal anesthesia between January and May of 2023 at these clinics and an investigation is underway by the Centers for Disease Control and Prevention (CDC), the Mexican Ministry of Health and U.S. state and local health departments. As of 26 May 2023, the health authorities from Mexico and the USA have reported a total of 20 cases presenting with signs and symptoms compatible with CNSI, including two deaths reported by the US CDC. People can get infected during medical procedures if all infection control practices are not followed. Discuss concerns and/or issues related to preparedness for and/or response to urgent public health threats. Chief, Mycotic Diseases Branch LT, U.S. Public Health Service UTMB Health is committed to diversity, equity and inclusion. Centers for Disease Control and Prevention, Luis Ostrosky-Zeichner, MD, FACP, FIDSA Additionally, according to the health authorities from the USA, the laboratory results from nine suspected cases were consistent with meningitis, of which two CSF and two blood samples showed elevated levels of (1,3)-beta-D-glucan, a biomarker for fungal infection. Threelots of preservative-free methylprednisolone acetate (MPA), an injectable steroid medication recalled on September 26, 2012, from the New England Compounding Center (NECC), have been linked to the outbreak. Laboratory testing is necessary to determine if a person has a fungal infection, COVID-19, or both. Maegan Traveler, The University of Texas Medical Branch at Galveston, Special Pathogens Excellence in Clinical Treatment Readiness & Education Program. Some people with arachnoiditis may have debilitating muscle cramps, twitches, or spasms. Where can I find additional information on this outbreak? Best used for discovery & interchangable words, Recommended to be used in conjunction with other fields, For additional assistance using the Custom Query please check out our Help Page, Checkout today's featured content at stacks.cdc.gov. ** All vials of methylprednisolone acetate that were sent to Nevada were recalled prior to use. 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One hypothesis Mexican officials have is that the morphine may be coming from black or gray markets while being sold as legitimate. Outbreak : fungal meningitis - CDC Stacks 25 May from 2021.United States of America. Lot #06292012@26, BUD 12/26/2012 Testing cerebrospinal fluid (CSF) may be necessary to diagnose fungal meningitis. Most had headache, and some have had fever, nausea, and light sensitivity. Available from: Centers for Disease Control and Prevention (CDC-U.S.). Bacterial, Viral, and Fungal Meningitis: Learn the Difference - Healthline If patients do not have access to an emergency room, they should contact their local health department or urgent care and inquire about diagnostic testing. Refer to the. At Least Six Dead From Multinational Fungal Meningitis Outbreak Fungal Meningitis Outbreak: 170 Cases, 14 Deaths - ABC News The United States of America and Mexico Health Authorities are investigating additional cases that may be associated with this outbreak in both countries. On October 30, 2015, CDC updated its web resources for patients and clinicians. Available from: Pan American Health Organization / World Health Organization. Healthcare associated fungal meningitis can occur from poor hygienic practices and poor infection control procedures during surgery or a general hospital stay and may involve direct infection of the CNS. Patients and clinicians need to remain vigilant for onset of symptoms because fungal infections can be slow to develop. Note: Javascript is disabled or is not supported by your browser. Patients Who Underwent Surgical Procedures under Epidural Anesthesia in Matamoros, Mexico (cdc.gov), Suspected Fungal Meningitis Outbreak Associated with Procedures Performed under Epidural Anesthesia in Matamoros, Mexico | HAI | CDC, Fungal Infections Following Surgical Procedures in Mexico Alert Level 2, Practice Enhanced Precautions Travel Health Notices | Travelers Health | CDC, Interim Guidance Matamoros FM Outbreak 5_20_23 Fungus Education Hub, Brote de presunta meningitis mictica asociado con procedimientos realizados con anestesia epidural en Matamoros, Mxico | HAI | CDC, Center for Preparedness and Response (CPR), Clinician Outreach and Communication Activity (COCA), What Providers Need to Know about Zoonotic Influenza, Evaluating and Supporting Patients with Long COVID in Returning to Work, Interim Recommendations for Diagnosing and Managing Suspected Fungal Meningitis Associated with Epidural Anesthesia Administered in Matamoros, Mexico, Mpox Update: Stay Up to Date on 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