A 2002 outbreak of meningitis and sacroiliitis attributed to compounded corticosteroid injections contaminated with Exophiala dermatitidis
was also reported (30).
They found that about 33 percent of the samples tested positive for fungi, with the common one being Exophiala dermatitidis
and phaeomuriformis, two types of black yeast, and dishwashers the most likely location where they were breeding.
The study showed 62pc of the dishwashers contained fungi on the rubber band in the door, out of which, 56pc included the polyextremotolerant black yeasts Exophiala dermatitidis
Elucidation of distribution patterns and possible infection routes of the neutropic black yeast Exophiala dermatitidis
marcescens infections associated with betamethasone injection, Pseudomonas putida septicemia caused by use of contaminated flush solutions in a special-care nursery, Burkholderia cepacia infections caused by contaminated intravenous flush solutions, Pseudomonas fluorescens bloodstream infections associated with a heparin/saline flush, and Exophiala dermatitidis
infections caused by injection of contaminated steroids (4-10; Table 1).