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.
Keywords:
contaminated methylprednisolone injection; epidural steroids; fungal abscess; fungi.
MeSH terms
-
Abscess / drug therapy
-
Abscess / etiology
-
Abscess / microbiology*
-
Aged
-
Amphotericin B / therapeutic use
-
Antifungal Agents / therapeutic use
-
Ascomycota / isolation & purification*
-
Drug Contamination*
-
Female
-
Humans
-
Meningitis, Fungal / drug therapy
-
Meningitis, Fungal / etiology*
-
Meningitis, Fungal / microbiology*
-
Methylprednisolone / administration & dosage*
-
Recurrence
-
Voriconazole / therapeutic use
Substances
-
Antifungal Agents
-
liposomal amphotericin B
-
Amphotericin B
-
Voriconazole
-
Methylprednisolone