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, 2012², 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.
¹Clinically diagnosed meningitis meaning 1 or more of the following symptoms: headache, fever, stiff neck, or photophobia and a CSF profile consistent with meningitis (pleocytosis +/- low glucose, elevated protein).
²These people, if possible, should have a lumbar puncture.
³Clinically diagnosed septic arthritis meaning new or worsening pain with presence of effusion or new or worsening effusion.