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To the Editor Dr Malani and colleagues1 used a gadolinium-contrast magnetic resonance imaging (MRI) screening protocol in 172 patients who had received 1 or more spinal or paraspinal injections of highly contaminated methylprednisolone but had not presented for medical care. The authors reported abnormal MRI findings in 36 patients (21%); of these 36 patients, 35 met the definition for probable or confirmed fungal spinal or paraspinal infection.
Matuchansky C. Contaminated Methylprednisolone Injections. JAMA. 2013;310(16):1735. doi:10.1001/jama.2013.277449