Two weeks after Matthew Spencer received a steroid injection for back pain, he was feeling even worse, suffering from an aching head, stiff neck, nausea, and stabbing back pain. Finally, he drove himself to the emergency room. Doctors suspected fungal meningitis. Test results weren’t definitive, but the steroid had been made by the Framingham pharmacy linked to an expanding national outbreak. Spencer’s situation illustrates many of the challenges public health officials, physicians and patients are grappling with in the outbreak.
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