title: Fungal Contamination of Methylprednisolone Causing Recurrent Lumbosacral Intradural Abscess.
abstract: Fungal meningitis transmitted through injections of methylprednisolone contaminated with Exserohilum rostratum affected 753 persons and caused 61 deaths in the United States in 2012. We report a case of infection recurrence after 24-months with the unique manifestation of an intradural fungal abscess. Fungal disease should remain on the differential diagnosis list for previously exposed patients.
authors.forename: Jaclyn J
authors.initials: JJ
authors.lastname: Renfrow
authors.forename: Mark B
authors.initials: MB
authors.lastname: Frenkel
authors.forename: Wesley
authors.initials: W
authors.lastname: Hsu
mesh_terms: D000038:Abscess / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D000368:Aged; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001203:Ascomycota / Q000302:isolation & purification*; D004340:Drug Contamination; D005260:Female; D006801:Humans; D016921:Meningitis, Fungal / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology*; D008775:Methylprednisolone / Q000008:administration & dosage*; D012008:Recurrence; D065819:Voriconazole / Q000627:therapeutic use
chemical_list: D000935:Antifungal Agents; C068538:liposomal amphotericin B; D000666:Amphotericin B; D065819:Voriconazole; D008775:Methylprednisolone
keywords: contaminated methylprednisolone injection; epidural steroids; fungal abscess; fungi