April Pettit, MD, an infectious disease specialist at Vanderbilt University in Nashville, Tenn., was the first physician to identify the unthinkable. One of her patients—an immunocompetent 50-year-old male—had contracted fungal meningitis in September 2012, weeks after receiving an epidural injection of methylprednisolone for low back pain. Twenty-two days after he was admitted to the hospital, the patient was dead.
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