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Real-world Experience in the Midst of an ExserohilumMeningitis Outbreak

Real-world Experience in the Midst of an ExserohilumMeningitis Outbreak Editorials represent the opinions EDITORIAL of the authors and JAMA and not those of the American Medical Association. Real-world Experience in the Midst of an Exserohilum Meningitis Outbreak clinical visit may have been offered, or patients were not George R. Thompson III, MD aware of the need to seek care for worsening symptoms. Vir- Dimitrios P. Kontoyiannis, MD tually all patients with abnormal MRI findings met criteria Thomas F. Patterson, MD from the Centers for Disease Control and Prevention for prob- able or proven disease. Twenty-four of these 35 patients HE OUTBREAK OF INVASIVE FUNGAL INFECTIONS AMONG required operative intervention as a diagnostic or therapeu- patients who received injections of contaminated tic maneuver, and all 35 received antifungal therapy. methylprednisolone acetate from the New En- In light of these findings, it may seem reasonable to man- Tgland Compounding Center continues. date MRI screening for all exposed patients. However, this New cases have been reported to the Centers for Disease recommendation may not be applicable to the entire ex- Control and Prevention weekly and more than 740 pa- posed population. The lot (No. 06292012@26) of contami- tients in 20 states have been diagnosed with meningitis, spi- nated steroid responsible for http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Real-world Experience in the Midst of an ExserohilumMeningitis Outbreak

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2013.6294
pmid
23780464
Publisher site
See Article on Publisher Site

Abstract

Editorials represent the opinions EDITORIAL of the authors and JAMA and not those of the American Medical Association. Real-world Experience in the Midst of an Exserohilum Meningitis Outbreak clinical visit may have been offered, or patients were not George R. Thompson III, MD aware of the need to seek care for worsening symptoms. Vir- Dimitrios P. Kontoyiannis, MD tually all patients with abnormal MRI findings met criteria Thomas F. Patterson, MD from the Centers for Disease Control and Prevention for prob- able or proven disease. Twenty-four of these 35 patients HE OUTBREAK OF INVASIVE FUNGAL INFECTIONS AMONG required operative intervention as a diagnostic or therapeu- patients who received injections of contaminated tic maneuver, and all 35 received antifungal therapy. methylprednisolone acetate from the New En- In light of these findings, it may seem reasonable to man- Tgland Compounding Center continues. date MRI screening for all exposed patients. However, this New cases have been reported to the Centers for Disease recommendation may not be applicable to the entire ex- Control and Prevention weekly and more than 740 pa- posed population. The lot (No. 06292012@26) of contami- tients in 20 states have been diagnosed with meningitis, spi- nated steroid responsible for

Journal

JAMAAmerican Medical Association

Published: Jun 19, 2013

References