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Case Definitions: Multistate Outbreak Associated with Injection of Potentially Contaminated Steroid Products
October 6, 2012 8:00pm ET
1. A person with meningitis1 of sub-acute onset (1-4 weeks) following epidural injection after May 21, 2012.
2. A person with basilar stroke 1-4 weeks following epidural injection after May 21, 2012, who has not received a diagnostic lumbar puncture.
3. A person with evidence of spinal osteomyelitis or epidural abscess at the site of an epidural injection diagnosed 1-4 weeks after epidural injection after May 21, 2012.
4. A person with septic arthritis3 diagnosed 1-4 weeks following steroid joint injection after May 21, 2012.
<sup>1</sup>Clinically diagnosed meningitis meaning 1 or more of the following symptoms: headache, fever, stiff neck, or photophobiaand a CSF profile consistent with meningitis (pleocytosis +/- low glucose, elevated protein).
<sup>2</sup>These people, if possible, should have a lumbar puncture.
<sup>3</sup>Clinically diagnosed septic arthritis meaning new or worsening pain with presence of effusion or new or worsening effusion.
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October 6, 2012 8:00pm ET
1. A person with meningitis1 of sub-acute onset (1-4 weeks) following epidural injection after May 21, 2012.
2. A person with basilar stroke 1-4 weeks following epidural injection after May 21, 2012, who has not received a diagnostic lumbar puncture.
3. A person with evidence of spinal osteomyelitis or epidural abscess at the site of an epidural injection diagnosed 1-4 weeks after epidural injection after May 21, 2012.
4. A person with septic arthritis3 diagnosed 1-4 weeks following steroid joint injection after May 21, 2012.
<sup>1</sup>Clinically diagnosed meningitis meaning 1 or more of the following symptoms: headache, fever, stiff neck, or photophobiaand a CSF profile consistent with meningitis (pleocytosis +/- low glucose, elevated protein).
<sup>2</sup>These people, if possible, should have a lumbar puncture.
<sup>3</sup>Clinically diagnosed septic arthritis meaning new or worsening pain with presence of effusion or new or worsening effusion.
Contact Us:
- Centers for Disease Control and Prevention
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Atlanta, GA 30333 - 800-CDC-INFO
(800-232-4636)
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Closed Holidays - cdcinfo@cdc.gov
- Page last reviewed: October 6, 2012 8:00pm ET
- Page last updated: October 6, 2012 8:00pm ET
- Content source: Centers for Disease Control and Prevention
National Center for Emerging and Zoonotic Infectious Diseases (NCEZID)
Division of Healthcare Quality Promotion (DHQP)
