0
Medical News & Perspectives |

Hospital Faces Uncertainty as It Copes With Surge of Patients With Fungal Meningitis

Bridget M. Kuehn, MSJ
JAMA. 2013;309(3):219-221. doi:10.1001/jama.2012.187705.
Text Size: A A A
Published online

Extract

In the first week after news broke in early October that contaminated steroid injections from a New England compounding pharmacy were the likely cause of a multistate outbreak of fungal meningitis, dozens of patients who had been exposed to potentially contaminated injections at a private pain management practice began presenting each day in the emergency department of a nearby hospital, St Joseph Mercy Ann Arbor Hospital in Ypsilanti, Mich.

“In that first week, there was a day our emergency department did more than 60 spinal taps,” said Anurag Malani, MD, an infectious disease specialist at the hospital. “We had this massive influx of [exposed] patients, probably a couple hundred that first week.”

Figures in this Article

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Place holder to copy figure label and caption

Graphic Jump LocationImage not available.

More than 590 cases of fungal meningitis in 19 states, including 37 deaths, have been traced back to contaminated steroid injections.

Place holder to copy figure label and caption

Graphic Jump LocationImage not available.

Physicians and public health authorities are grappling with how to treat fungal meningitis and spinal infections caused by injections of steroid medications contaminated with the fungus Exserohilum rostratum.

(Photo credit: CDC)

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();