Houston Chronicle Sunday

Victims face long, chancy recuperati­on Outbreak update

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OCALA, Fla.— Vilinda York lies in her Florida hospital bed, facing a dryerase board that lists in green marker her name, her four doctors and a smiley face.

Also on the board is this: “Anticipate­d date of discharge: NOT YET DETERMINED.”

The 64- year- old contracted fungal meningitis after receiving three tainted steroid shots in her back. She’s one of 284 people nationwide who are victims of an outbreak that began when aMassachus­etts compoundin­g pharmacy shipped contaminat­ed medication. Twenty- three people have died.

Like many trying to recover, York, who has been hospitaliz­ed since Sept. 27, faces a long and uncertain road. Many people have died days or even weeks after being hospitaliz­ed. Fungal meningitis Latest numbers from the Centers for Disease Control and Prevention:

284, including three joint infections. 23 16; Florida, Idaho, Illinois, Indiana, Maryland, Michigan, Minnesota, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvan­ia, Tennessee, Texas and Virginia. — which is not contagious — is a tenacious disease that can be treated only with powerful drugs.

“I’mdetermine­d I’m going to fight this thing,” she said. “The devil is not going to win.”

Dr. William Schaffner, an infectious disease specialist who chairs Vanderbilt University’s Department of Preventive­Medicine, said the treatment includes intravenou­s anti- fungal medicines that are tricky to use. “These are powerful drugs. They’re toxic,” he said.

Drug therapy continues

Even after leaving the hospital, he said, patients will continue antifungal drugs for weeks or months.

The infectious disease doctor handling York’s case did not immediatel­y respond to a phone message.

When York talks about the last six weeks, tears run down her cheeks. She knows the disease is deadly. And if she needed a reminder, it’s right there in the headline from a local newspaper on her hospital bed: “Third death reported inMarion County from fungal meningitis.”

For York, 2012 started well. The retired clothing shop clerk and widow from Illinois was doing water aerobics three times a week, tending to her flower garden and spending time with church friends. They’d get together a couple of times a week and go to church every Sunday.

On Jan. 21, she was on her way to a wedding when she got into a car crash. It wasn’t enough to put her in the hospital, but she did suffer back problems.

Suffered after shot

The pain was strong enough for her to visit a doctor atMarion Pain Clinic, where she received two steroid shots on Aug. 16. A week later, the pain was still there and she began feeling headachy, nauseous and dizzy. She chalked it up to her back and got a third shot

In the weeks that followed, her health deteriorat­ed. She couldn’t lie down without back pain. A friend gave her a recliner to sleep in. The headaches grew severe, sharp pains shooting from all directions into her skull. “I couldn’t walk well, I couldn’t see good and I could wipe the sweat off my arms,” she said.

On Sept. 27, her legs and arms grew numb. The numbness flowed upwards to her waist. That’s when she called 911.

When she arrived at the hospital, doctors took a spinal tap and discovered she had meningitis.

 ?? Associated Press file ?? A closeup view through the lens of a microscope and magnified on a computer screen shows the meningitis­causing fungus Exserohilu­m rostratum at the Centers for Disease Prevention and Control in Atlanta.
Associated Press file A closeup view through the lens of a microscope and magnified on a computer screen shows the meningitis­causing fungus Exserohilu­m rostratum at the Centers for Disease Prevention and Control in Atlanta.

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