Health officials stated there is evidence that a Mold is the predominant pathogen in the meningitis outbreak that sickened 233 and killed 15 to date.
The Centers for Disease Control (CDC) in Atlanta said Exserohilum rostratum, a brownish black mold, was the pathogen, although Aspergillus species was also detected. Cladosporium, a mold, was also detected in a patient.
Voriconazole an antifungal medication that is used to treat serious and invasive fungal infections might be effective in treating infections due to Molds as well as infections due to the Aspergillus Mold.
"This is interim guidance for treatment of adult patients with septic arthritis associated with intra-articular injections with potentially contaminated steroid products from the New England Compounding Center,” the CDC said in a statement. "Interim guidance may change as new information becomes available.”
The New England Compounding Center in Massachusetts shipped about 17,000 doses of methylprednisolone acetate used to treat back and joint pain. About 14,000 of the doses are estimated to have been used. Some of those sickened by the medication had strokes and some have been hospitalized and are seriously ill.
The CDC reported that Tennessee was first to identify the fungal meningitis and had 59 cases and 6 deaths. Also: 47 cases in Michigan and 3 deaths, Virginia had 35 cases and 1 death, Indiana had 30 cases and two deaths, Maryland had 16 cases and one death, in Maryland;,1Florida had 2 cases and 2 deaths, New Jersey had 10 cases and additional cases reported in Minnesota, New Hampshire, Ohio, North Carolina, Idaho, Illinois, Texas and Pennsylvania.