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 total […]
Prosthetic joint infection
Case 26
Case 25
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 24
Patient 24, a 39-year-old female with giant cell tumor of the right distal femur treated with distal femur replacement in 2016. She developed arthrofibrosis and underwent revision in December, 2018 and developed an methicillin sensitive Staphylococcus aureus (MSSA) infection which necessitated debridement, antibiotics and implant retention (DAIR) in January, 2019. She received multiple antibiotics due […]
Case 22
Pateint #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 18
Patient #18, a 71-year-old male with a morbid obesity (BMI 41) and hyperlipidemia presented with a chronic MRSA PJI. Twenty years prior he had a methicillin sensitive Staphylococcus aureus (MSSA) septic arthritis and intraosseous abscess of his right knee that was treated with intravenous (IV) cefazolin. One year later, he fractured his distal right femur, […]
Case 17
Patient # 17 is a 61-year-old female with a chronic, persistently infected right prosthetic knee joint infection with methicillin-sensitive S. aureus (MSSA) present since Dec 2017. It remained infected with draining sinuses despite multiple rounds of IV antibiotics and surgeries. She received two weeks of phage therapy IV twice a day provided by another company […]
Case 14
Patient #14, a 61-year-old male who suffers from bilateral knee osteoarthritis. In 2008, the patient had a right TKA which was complicated by several infections between 2009-2018 (treated with I & D and intensive antibiotic regimen), which lead to a spacer removal and replacement of the distal femoral modular component within the knee in 2019. […]