ALERT: Fungal meningitis in U.S. patients following epidural anesthesia in Mexico

Key Messages

• The Centers for Disease Control and Prevention (CDC) has reported an outbreak of suspected fungal meningitis among U.S. patients following epidural anesthesia in Matamoros, Mexico.
• CDC is hosting a Clinician Outreach and Communication Activity (COCA) call on June 8, 2023 at 11 AM PST on Interim Recommendations for Diagnosing and Managing Suspected Fungal Meningitis Associated with Epidural Anesthesia Administered in Matamoros, Mexico.
• Healthcare Providers should immediately report suspected fungal meningitis cases to the Epidemiology Unit by faxing a Confidential Morbidity Report or by calling 619-692-8499 (Monday-Friday 8 AM-5 PM) or 858-565-5255.

Situation

On May 17, 2023, the Centers for Disease Control and Prevention (CDC) issued a Health Advisory on Fungal Meningitis in U.S. patients following procedures requiring epidural anesthesia in at two clinics in Matamoros, Mexico.

Background

As of May 12, 2023, five patients have been diagnosed with suspected fungal meningitis; all have been hospitalized, and one has died. On June 1, 2023, CDC issued a Health Update with additional information on the status of the ongoing fungal meningitis outbreak and highlights interim recommendations for diagnosis and treatment.

Actions Requested

1. Stay up to date on the fungal meningitis outbreak associated with procedures performed under epidural anesthesia in Matamoros, Mexico.

2. Take a travel history including history of medical treatments received outside the U.S. from patients presenting with febrile illness.

3. Report immediately suspected fungal meningitis cases to the Epidemiology Unit by faxing a Confidential Morbidity Report or by calling 619-692-8499 (Monday-Friday 8 AM-5 PM) or 858-565-5255 (after hours, during weekends, and on County-observed holidays).

Source: News Release
CAHAN San Diego
June 8, 2023