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| Exserohilum rostratum/CDC |
It is being reported that localized, injection site fungal infections are being reported from some state health departments in increasing numbers. Michigan health officials have reported scores of such infections since the beginning of the multistate outbreak linked to contaminated methylprednisolone acetate (MPA) injection, according to a Michigan Department of Community Health update Dec. 7.In Michigan, officials have reported 131 epidural abscesses, 36 meningitis plus epidural abscess and one epidural abscess plus peripheral joint fungal infection.Moreover, Michigan is not alone. The Tennessee Department of Health (TDH) has reported a total of 23 people have been identified as having new, localized infections since Thanksgiving.According to a statement by TDH Commissioner John Dreyzehner, MD, MPH, “As of today, we have identified 23 persons who have developed these less serious infections at or near the site of their MPA injections. The early identification of these infections, made possible by a strong collaborative effort by clinicians, our department and the CDC, has helped several individuals get effective treatment at an earlier stage, thereby fending off a more serious illness.”Dreyzehner says he cannot tell with certainty how long they can expect to identify new cases of localized infections. “Nationally", he says, "the longest reported infection occurred 120 days after last injection.”The latest data on the Multistate Fungal Meningitis Outbreak Investigation from the Centers for Disease Control and Prevention is 541 cases reported from 19 states. 36 of these infections have ended in death as of Dec. 3.For more infectious disease news and information, visit and “like” the Infectious Disease News Facebook page

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