Multistate outbreak linked to Main Street Family Pharmacy in Tennessee stands at 20 cases, Florida reports 13
In a follow up report concerning a recall of injectable steroids and all sterile products from a Tennessee compounding pharmacy, the Centers for Disease Control and Prevention (CDC) declared a multistate outbreak investigation after a number of patients who received preservative-free methylprednisolone acetate (MPA) 80mg/mL in 10mL vials produced by the Main Street Family Pharmacy in Newbern, Tennessee developed adverse reactions.
Methylprednisolone acetate (MPA), an anti-inflammatory steroid used to treat a range of conditions including asthma and allergic reactions.
CDC is aware of 20 reported cases from three states – Illinois, North Carolina, and Florida. The majority of these persons developed skin and soft tissue infections of unclear etiology following intramuscular injection of this product.
As of May 30, there has been 13 cases reported in Florida, five in Illinois and two in North Carolina.
In Illinois, all five cases received injections at the Logan Primary Care clinic in downstate Herrin, located in Williamson County.
“The Illinois Department of Public Health continues to work with local and federal officials investigating these adverse events,” said IDPH Director Dr. LaMar Hasbrouck. “Our first priority is to ensure that all products from the Tennessee pharmacy are sequestered and no longer in use, and also to ensure that any others who might have received MPA injections have been contacted.”
The North Carolina investigation began after the FDA was notified of two individuals who developed complications after administration of an injectable steroid product at a clinic in Greenville, N.C.
Complications identified thus far are skin abscesses.
In Florida, which has reported 13 cases, health officials also say each of Florida’s currently identified cases of adverse reaction are associated with skin abscesses following intra-muscular injections of MPA.
To date, no reports of meningitis or other life-threatening infections have been reported. All products labeled as sterile have been voluntarily recalled by the pharmacy.
State and local health departments are working with CDC and FDA in the investigation.
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Video: Florida Department of Health
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