Abstract

Letters5 March 2013Iatrogenic Fungal MeningitisAbe M. Macher, MDAbe M. Macher, MDFrom Rockville, Maryland.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-158-5-201303050-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:In his commentary, Perfect (1) recalls the 2002 North Carolina outbreak of “Exophiala (Wangiella) dermatitidis meningitis related to contaminated, injectable, preservative-free methylprednisolone acetate prepared from a [South Carolina] compounding pharmacy.” He reports that “voriconazole successfully treated these cases of iatrogenic fungal meningitis except for 1 fatality.” There were 2 fatalities, in fact.In December 2002, the Centers for Disease Control and Prevention reported (2) that a 77-year-old woman with E. dermatitidis meningitis died 51 days after hospitalization, and 3 additional patients with E. dermatitidis meningitis were hospitalized. It noted that 1 of those patients was a 71-year-old ...

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