 important updates on outbreak of fungal meningitis in u s patients who underwent surgical procedures under epidural anesthesia in matamoros mexico the centers for disease control and prevention cdc the mexico ministry of health and u s state and local health departments are responding to a multinational outbreak of fungal meningitis among patients who underwent surgical procedures under epidural anesthesia in matamoros tamaulipas mexico since january 1 2023 to date more than 200 u s citizens have been exposed to these procedures with three deaths resulting from this fungal meningitis outbreak 