Case 32

February 4, 2021

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Patient #32 was 54 years old with a past medical history of hypertension, elevated hyperlipidemia, muscular dystrophy, status post inferior vena cava filter placement, sick sinus syndrome and status post pacemaker, chronic obstructive pulmonary disease on home oxygen therapy, type 2 diabetes mellitus, hypothyroidism and was diagnosed with Covid19 on 13Sep2020. Upon presentation to the […]

Case 27

February 4, 2021

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Patient #27, a 61-year-old woman with several medical conditions including diabetes, sarcoidosis, VID, neuropathy, and many drug allergies and intolerances. She has struggled with recurring ear infections since 2004 and has had chronic issues with her right year. Since 2004 she has had over 10 ear surgeries for debridement and over 10 sinus surgeries to […]

Case 31

February 4, 2021

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Patient #31 was 60 years old with a past medical history of hypertension, hyperlipidemia, and systemic lupus erythematosus who presented to the emergency department on 24Sept2020 with shortness of breath and a diagnosis of Covid19 from 19Sept2020. The patient was started on prednisone with minimal improvement. The chest x-ray on 24Sept2020 demonstrated bilateral infiltrates. Sputum […]

Case 29

February 4, 2021

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Patient #29 was a 61-year-old female with past medical history significant for hypertension, obesity who was admitted to the hospital from a nursing home with difficulty breathing for one day. Initial assessment in the emergency department found her to be in respiratory failure due to Covid19 pneumonia and in shock. She was intubated due to […]

Case 28

February 4, 2021

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Patient #28 is a 58-year-old-man who has undergone two separate two-stage exchange arthroplasties for his right hip periprosthetic infection. He has undergone multiple rounds of intravenous antibiotics and oral suppressive antibiotics as well. He has developed another abscess and draining wound about his right hip. Prior to his hip surgery, he was a young, active […]

Case 26

June 30, 2020

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Patient #26, a 60-year-old man with multiple medical comorbidities including a thoracic aortic aneurysm, atrial fibrillation status post ablation, gastric bypass surgery 2014 complicated by postop gastric sleeve strictures requiring stenting, history of DVT, and multiple joint arthroplasties including bilateral total knee arthroplasty, total hip arthroplasty (THA) and total shoulder arthroplasty. He underwent primary left […]

Case 25

June 30, 2020

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Patient #25, a 61 year-old male who had a primary left total hip arthroplasty in 1985 which required revisions in 1991, 2000, and 2004 complicated by infection with staphylococcus. He failed debridement, antibiotics and implant retention (DAIR) and required a two-stage exchange in 2004-2005 for Enterococcus cloacae, followed by further surgical interventions in 2008 (staphylococcus […]

Case 23

June 30, 2020

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Patient #23, a 73 year-old male with Type 2 diabetes mellitus, hypertension and severe peripheral vascular disease including a left femoral-popliteal bypass with vascular graft, left superior femoral artery and popliteal atherectom, left femoral profunda endarterectomy with patch angioplasty, left lower superior femoral artery stent and right femoral to left popliteal bypass. In January 2020, […]

Case 22

June 30, 2020

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Patient #22, a 69 year-old woman with a past medical history of chronic kidney disease, hypothyroidism, severe congestive heart failure with reduced ejection fraction, prosthetic knee joint infection, and a history of bacteremia. In November 2016, she had a left ventricular assist device (LVAD) placed and a right knee arthroplasty. Over a 4 year period […]

Case 21

June 30, 2020

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Patient #21, a 69 year-old male with a history of ischemic heart disease and non-insulin-dependent diabetes mellitus.  He was admitted in November 2019 with malignant otitis and mastoiditis on his left ear due to Pseudomonas aeruginosa. The patient was discharged on Dec 1st and readmitted with the same issue on Dec 8th suggesting failure on antibiotics.  On Dec 19th, he had […]