Case 26

June 30, 2020

Comments Off on Case 26

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 […]

Case 25

June 30, 2020

Comments Off on 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 23

June 30, 2020

Comments Off on Case 23

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

Comments Off on 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 21

June 30, 2020

Comments Off on Case 21

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 […]

Case 19

June 30, 2020

Comments Off on Case 19

Patient #19, a 7-year-old female who sustained multiple injuries from a MVA in 2018. This accident led to a long hospital admission and multiple surgical interventions with metal hardware (bilaterally, from hips down) ultimately resulting in chronic multidrug resistant P. aeruginosa osteomyelitis of the left foot. Her physicians sought out phage therapy since futher surgery […]

Case 18

June 30, 2020

Comments Off on 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

June 30, 2020

Comments Off on 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 16

June 30, 2020

Comments Off on Case 16

Patient #16, a 45-year-old woman who underwent a liver transplant leading to septic shock from intra-abdominal infection. She underwent liver transplantation in April 2019 which was complicated by delayed closure, biliary leak, peritonitis, and ischemic bowel s/p multiple resections. Her abdomen was closed using mesh which developed DIC and bleeding. This infection was colonized with […]

Case 15

June 30, 2020

Comments Off on Case 15

Patient #15, a 46-year-old male who had multiple trauma 25 years ago during his service in the military. During this time, he had multiple prolonged admissions to the hospital where he eventually developed Pseudomonas aeruginosa osteomyletis in his left tibia. The most recent imaging at the site of infection suggested that the P. aeruginosa had […]