Evidence map›Paper›PMID 40180580›Full record

ArticleEmerging infectious diseases2025

Metagenomic Identification of Fusarium solani Strain as Cause of US Fungal Meningitis Outbreak Associated with Surgical Procedures in Mexico, 2023.

Charles Y Chiu, Venice Servellita, Mikael de Lorenzi-Tognon, Patrick Benoit, Nanami Sumimoto, Abiodun Foresythe, Filipe M Cerqueira, Natalie Williams-Bouyer, Ping Ren, Lauren Nicholas S Herrera and 15 more

Abstract read
In one paragraph

Article in Emerging infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Fusariosis in Mexico: cases and gaps to be addressed.Frontiers in cellular and infection microbiology · 2026
    Review
  2. ASM case reports · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors.

Charles Y Chiu
Venice Servellita
Mikael de Lorenzi-Tognon
Patrick Benoit
Nanami Sumimoto
Abiodun Foresythe
Filipe M Cerqueira
Natalie Williams-Bouyer
Ping Ren
Lauren Nicholas S Herrera
David C Gaston
Leanna Sayyad
Shannon L Whitmer
John Klena
Holenarasipur R Vikram
Jeremy A W Gold
Lalitha Gade
Lindsay Parnell
Elizabeth Misas
Tom M Chiller
Isabel S Griffin
Sridhar V Basavaraju
Dallas J Smith
Anastasia P Litvintseva
Nancy A Chow

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We used metagenomic next-generation sequencing (mNGS) to investigate an outbreak of Fusarium solani meningitis in US patients who had surgical procedures under spinal anesthesia in Matamoros, Mexico, during 2023. Using a novel method called metaMELT (metagenomic multiple extended locus typing), we performed phylogenetic analysis of concatenated mNGS reads from 4 patients (P1-P4) in parallel with reads from 28 fungal reference genomes. Fungal strains from the 4 patients were most closely related to each other and to 2 cultured isolates from P1 and an additional case (P5), suggesting that all cases arose from a point source exposure. Our findings support epidemiologic data implicating a contaminated drug or device used for epidural anesthesia as the likely cause of the outbreak. In addition, our findings show that the benefits of mNGS extend beyond diagnosis of infections to public health outbreak investigation.

Indexed as

Disease OutbreaksFusariosisFusariumMeningitis, FungalMetagenomicsAdultFemaleHumansMaleMexicoMiddle AgedPhylogenyagnostic pathogen detectionfungiFusarium solanimeningitis/encephalitismetagenomic next-generation sequencingmetaMELTMexicomNGSmultiple extended locus typingNectria haematococcaoutbreak investigationSURPI+ computational pipeline for pathogen detectionUnited States

Identifiers

PMID40180580
PMCPMC12044249

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.