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.

Keywords

• contaminated methylprednisolone injection
• epidural steroids
• fungal abscess
• fungi
• United States