Facilitating Full Recovery after Fungal Meningitis

Unfortunately, people who have recovered from fungal meningitis are not out of the woods just yet; full recovery can take anywhere from six months to a full year – and that is without additional infections. In the following article, Dr. Michael Omidi discusses how to care for oneself, how to facilitate full recovery, and what symptoms to watch out for.

When the fungal meningitis outbreak first hit, it was estimated that patients exposed to the tainted steroid who hadn’t developed symptoms of fungal meningitis would be in the clear, so to speak, if they continued to by symptom-free by mid January. However, different medical experts have produced different timelines, and some believe that it is very possible to still come down with the potentially deadly illness even today.

Fungal meningitis is an especially virulent strain of meningitis that is difficult to treat. The medications that have proved effective unfortunately also trigger severe side effects, so they are not ideal for older people or people with compromised immune systems. Long term exposure to the anti-fungal drugs can actually cause kidney damage. The people who were exposed to this illness were people who were receiving treatments for chronic back pain, many of whom were older persons that are less capable of tolerating or warding off potential complications.[1]

If you have been exposed to fungal meningitis through exposure to the tainted batch of steroids, make sure you visit your doctor if you experience persistent headaches, back pain, leg pain, confusion, neck stiffness, pain, or nausea.

Treatments for fungal meningitis are long and arduous; they require more or less constant monitoring and administration of anti-fungal medications. Additionally, there are other medical complications that can arise, namely epidural abscesses and arachnoiditis.

Epidural abscesses are inflammations near the site of the epidural injection and are often undetectable since they are far below the surface of the skin. Patients often can’t distinguish pain caused by the abscess from the pain caused by meningitis. These abscesses can cause severe pain and limited mobility and they must be drained. Dead tissue must be removed surgically and months of anti-fungal medications must be administered in order to clear the infection.

Arachnoiditis is a serious, chronic neurological condition caused by trauma or infection of the arachnoid, a membrane surrounding the spinal column. Patients with arachnoiditis are often in constant pain and unable to stand or sit for long periods of time, in some cases even experiencing incontinence. There is no cure for arachnoiditis; patients must undergo consistent pain management therapy and treatment.

If you are recovering from fungal meningitis, make sure you continue taking your medications exactly as your physician instructed. Try your best to avoid further infections from other sources; wash your hands regularly and keep your countertops and surfaces clean and sterilized. If you can’t detect any improvement or your medications don’t seem to be having any effect, see your doctor immediately.  If you become confused, develop seizures or a fever, or it becomes difficult for you to be roused from sleep, call 911.

---

[1] Goodman, Brenda: Fungal Meningitis Patients: A Long Road to Recovery WebMD 12/26/2012 http://www.webmd.com/news/20121226/fungal-meningitis-victims-recovery

Meningitis and Arachnoiditis Risks

New England Compounding Center: Contaminated Batches

It is very frightening to think that the medications and drug treatments we hope will help us when we are sick or injured might actually cause problems that are immeasurably worse than the problems they were meant to cure. Even though only three batches of the drug methylprednisolone acetate have been found to be tainted with the fungi Aspergillus and Exserohilum, the medical havoc those three batches have caused haven’t yet been fully understood, and new conditions, symptoms and illnesses are appearing every day. Unfortunately, it appears that meningitis was not the only condition to have arisen from this crisis. The contaminated medications from the New England Compounding Center have caused not only fatal outbreaks of fungal meningitis, but also another dangerous condition known as arachnoiditis, for which there is no cure, and very little treatment.

What is Arachnoiditis?

Arachnoiditis is an inflammation of the membranes surrounding the spinal cord. It can be caused by the introduction of a virus, bacteria, fungus or chemical into the spinal cord, or from spinal trauma or surgery. Arachnoiditis is extremely painful, and sufferers experience numerous debilitating symptoms, including difficulty controlling limbs, inability to sit for long periods of time, numbness, inability to walk for extended periods and inability to stand for long periods and burning pain in the legs and back. Many sufferers experience incontinence and sexual dysfunction.

Epidural Injections cause Arachnoiditis

Epidural injections (the injection of steroids or other medications near the spinal column) have long been the culprit of arachnoiditis. With the increase in steroid epidural injections, so came the increase of medical complications due to spinal trauma at the injection site. Although many back pain sufferers have experienced relief from sometimes crippling pain that can even radiate into the arms and legs, many physicians believe the technique is being overused. Until the meningitis outbreak, the risk of infection wasn’t being factored into an FDA review of the potential for catastrophic neurological injuries.

Treating Arachnoiditis

Arachnoiditis is a chronic condition. Treatments and pain management techniques vary, but surgery is discouraged because it is typically a painful procedure with long recovery time and only temporary relief. Many patients have had success with different physical and pain management therapies, but it is recommended that a specialist in the area be consulted because it is not a well known or widely experienced condition, and is often misdiagnosed as a pinched nerve.

Arachnoiditis Magnified Since Meningitis Outbreak

Although there doesn’t appear to be a great deal of research into the reversal of arachnoiditis, the recent health crisis might galvanize some activity. Now, most of the efforts of medical researchers seem to be in the arena of pain management in arachnoiditis sufferers rather than cure.

Arachnoiditis Symptoms

While the symptoms of and prognosis for arachnoiditis are scary, it should be noted that the severity of the symptoms varies significantly, depending upon the location of the inflammation. Some patients are able to lead a perfectly full life with the help of persistent emotional and physical therapies, as well as regular exercise.

Dr Michael Omidi on Meningitis Outbreak

Dr Michael Omidi Discusses the Recent Meningitis Outbreak, as well as other illnesses that are now being linked to contaminated infections

The recent meningitis outbreak was the one of the biggest health disasters ever caused by a tainted drug. To date, more than 400 people have been infected, and 32 have died. Unfortunately, it seems that meningitis is not the only dangerous illness caused by the contaminated steroid injections; many patients are now suffering from epidural abscesses and arachnoiditis, even though the fungal meningitis seemed to be under control.

Epidural Abscesses and Arachnoiditis Linked to Contaminated Steroid Injections

Epidural abscesses are pus-filled inflammations of the spine or bones of the skull. These abscesses can be caused by bacterial or fungal infections and, in the cases of the contamination victims, can cause meningitis. Epidural abscesses are often found in patients who have had invasive back surgery, bone infections of the spine or are intravenous narcotics users.

Epidural Abscess Symptoms

The symptoms of epidural abscess are back pain, fever, weakness and incontinence. This condition can lead to very serious complications, including brain damage, bone infection and even paralysis. It is very important to seek medical treatment at the first signs of epidural abscess, although because the abscess might not be evident at the surface of the skin detection might be difficult. However, anyone suffering persistent back pain, nausea and fever should visit their doctor.

Arachnoiditis Symptoms

Arachnoiditis is a swelling of the membranes surrounding the spinal cord. This painful condition occurs when certain bacteria, chemicals or viruses are introduced to the spine, and can also be triggered by trauma or spinal surgery. This condition causes burning pain in the legs and back, spinal numbness, muscle cramping, loss of bladder and bowel function and even, in severe cases, paralysis. Treatments can be long and difficult, and typically consist of pain management exercises and, sometimes, psychotherapy. Arachnoiditis is a chronic condition with symptoms that can be made less severe with treatments, but never totally eliminated. Surgery is not widely used due to the fact that relief is only temporary and the procedures are very dangerous.

Fungal Meningitis Symptoms

Fungal meningitis is an aggressive form of meningitis that attacks the membranes covering the spinal cord and brain. Symptoms include nausea, light sensitivity, stiff neck, severe headaches and fever. Although the symptoms for fungal, bacterial and viral meningitis are the same, fungal and bacterial meningitis are medical emergencies, whereas viral meningitis often doesn’t require medical treatment. It is critically important to seek medical attention at the onset of these symptoms so immediate treatment can be administered. Meningitis, when left untreated, might lead to seizures, stroke, brain damage and hearing loss.

Moving Forward

It isn’t easy, perhaps even impossible, to predict what further medical complications may arise from this catastrophe. Unfortunately, even after the disgraceful sloppiness of compounding pharmacies became known, it is still common for citizens to order pharmaceuticals online from dubious sources. Hopefully, this disaster will open up public awareness about medical treatment practice, and cause both doctors and patients to scrutinize the origins of their drugs.


Dr. Michael Omidi is a philanthropist, whose charitable organizations include Animal Support and No More Poverty, both of which he founded with his brother Julian Omidi.