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    Important Information Regarding Meningitis Associated with Steroid Injections

    Important Information Regarding Meningitis Associated with Steroid Injections

    As of September 30, 2013, Michigan's case count associated with the Centers for Disease Control and Prevention multi-state meningitis investigation is 264 total cases, including 19 deaths.

    23 meningitis with no other infection noted
    46 meningitis plus epidural abscess
    2 strokes without LP
    166 epidural abscesses
    2 epidural abscess plus peripheral joint
    25 peripheral joints

    19 deaths* (Two deaths associated with stroke, six associated with an epidural abscess, and 10 among patients counted as meningitis cases.)

    *Three additional Michigan resident deaths are being counted as an Indiana cases as that's where treatment occurred.

    Additional details about the Michigan deaths:

    • Livingston County - 64 year old woman - Confirmed 7/22/13
    • Livingston County - 75 year old man - Confirmed 7/22/13
    • Mason County - 47 year old man - Confirmed 6/13/13
    • Livingston County - 87 year old man - Confirmed 4/11/13
    • Livingston County - 79 year old woman - Confirmed 4/2/13
    • Grand Traverse County - 80 year old man - Confirmed 3/11/13
    • Grand Traverse County - 73 year old man - Confirmed 2/6/13
    • Washtenaw County - 88 year old woman - Confirmed 1/14/13
    • Washtenaw County - 87 year old woman - Confirmed 1/3/13
    • Livingston County - 75 year old woman - Confirmed 11/20/12
    • Livingston County - 50 year old woman - Confirmed 11/19/12
    • Ingham County - 88 year old woman - Confirmed 11/7/12
    • Charlevoix County - 81 year old woman - Confirmed 10/30/12
    • Wayne County - 64 year old woman - Confirmed 10/30/12
    • Livingston County - 79 year old woman - Confirmed 10/18/12
    • Washtenaw County - 61 year old man - Confirmed 10/17/12
    • Genesee County - 56 year old woman - Confirmed 10/9/12
    • Livingston County - 67 year old woman - Confirmed 10/6/12
    • Washtenaw County - 78 year old woman - Confirmed 10/6/12

    The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration are coordinating a multi-state investigation of meningitis among patients who had received steroid injections, the contaminated product reported to be the cause of the outbreak. Cases of illness have been reported in Michigan and a response is being coordinated between local public health, the four Michigan facilities in receipt of the recalled product and the Michigan Department of Community Health. Several documents are available describing the investigation to date as well as patient assessment tools and they can be found at the following links:

    CDC Health Advisory: Meningitis and Stroke Associated with Potentially Contaminated Product 

    Case Definitions: Multistate Outbreak Associated with Injection of Potentially Contaminated Steroid Products

    CDC Instructions for Clinical Teams Regarding Diagnostic Testing - Outbreak of Unknown Meningitis 

    CDC Interim Treatment Options - Outbreak of Unknown Meningitis 

    Multistate Meningitis Cluster Case Report Form 

    CDC DASH Form for STAT Specimen Submission

    List of all products recalled by NECC

    Contamination Identified in Additional Medical Products from NECC

    Voluntary Recall of All Ameridose Medical Products

    For up to date national information regarding the outbreak, visit the CDC Outbreak Investigation Page.

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