Recent outbreaks of fungal  meningitis tied to contaminated epidural steroid injections (ESI) have been at the top of medical news for the past several days. The  outbreak is tied to contaminated steroid injections made by specialty pharmacy New England Compounding Center.  Given the prevalence of ESIs in the treatment of back pain, the outbreaks are particularly troublesome to the workers’ compensation community. It  is not even certain that the contaminated injections are isolated only to those receiving the treatment for back pain.

While Kentucky is not a state reported as receiving the contaminated injections, the 23  states which have are: California, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Maryland, Michigan, Minnesota, North Carolina, New Hampshire, New Jersey, Nevada, New York, Ohio, Pennsylvania, Rhode Island, South Carolina, Tennessee, Virginia, Texas and West Virginia. However, New England Compounding Center is licensed in all 50 states, so shipments to other states cannot be ruled out as a possibility.

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