Stuart Levitz, MD: Fungal Meningitis
What appears to have happened is the patients that injected into the area air around their spine these two patients that had severe back pain and will receive in spirit injections where they're back pain there unfortunately this during injections that they got were obtained from a compound in center and these injections were contaminated with a rare fungus so in essence they got the fungus injected right into their spinal canal i've seen cases of fungal meningitis before this particular fungus that's causing the meningitis is extremely rare to my knowledge it's never caused meningitis before most of the patients present with symptoms of meningitis and those types of symptoms can be fever and stiff nak some patients also have stroke like sometimes uh... Patients can also present with infection at the site of the steroid injection xa wrote hi lump is the name of the fungus that's been identified and most of the cases the fungus is very difficult to treat and it's difficult to treat for several reasons fungi in general a more difficult to treat and bacteria the drugs that we have don't work as well and also there are limited options himself uh... Anti fungal drugs what the centers for disease control is recommending as a drug called for a common so given at high doses uh..
The high doses unnecessary because one needs to drive to penetrate into v cerebral spinal fluid and into the central nervous system i think one elise needs to be careful in terms of uh... Of what gets administered to patients one must be careful in terms of the source the source of the drugs and i think there's been a lot in the press rightfully so about the new england compound in center that made uh... That made these uh... Pharmaceuticals a compound that these pharmaceuticals the type of quality control at this compound in center was not nearly the type of quality control that one would see and a yet prudent rogan ministration approved approved facility uh... Fortunately uh... U_-mass memorial hospital we didn't we didn't use those that drug so our patients are not address.
What appears to have happened is the patients that injected into the area air around their spine these two patients that had severe back pain and will receive in spirit injections where…By: UMass Medical School
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