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Author Topic: Second round of MRSA in TKR...scarey  (Read 1595 times)

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Offline Kalin354

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Second round of MRSA in TKR...scarey
« on: June 11, 2006, 07:41:37 PM »
Okay, I'm talking about my husband here, he's had 4 total knees in about 8 years time.  he is large, he has bad arthritis and somehow managed to tork his joints and they would start to come lose.  The last one was done in March 2005..in December 2005, he started suddenly having excrutiating pain and a trip to the ER told us he "sprained it"..ya right, he knew he hadn't, so we went to the OS that afternoon and he aspirated the knee and drew out TOTALLY WHITE fluid, obviously infected. Surgery the next day to wash out, because they believed it had cropped up so suddenly, surely it wasn't in the bone, etc.  Unfortunately, hubby had been taken methotrixate for his arthritis pain and this is a drug that hides infection and inflammation and reduces your body's ability to fight infection...great....so during this time of hospitalization and IV antibiotics following the washout, he started holding LOTS of fluid, then his kidneys shut down, then they decided his sleep apnea had caused his heart to be really enlarged  and then he got pneumonia..it was bad, he almost died.  One doctor said it was "septic shock", others think it was organ failure due to the lack of oxygen at night (for many many years) due to the sleep apnea.  Now he has a trach, so he can breathe at night without his CPAP machine..but the trach is a pain too.  Okay..so all this time they get side tracked with his other issues, and the knee is killing him..still hurting, still swollen, still big..but not necessarily "hot" or "red" and lab work doesn't look bad, so they wait several more months.  Aspiration attempts weren't getting any fluid out this time.  April 11, 2006, the go back in, it is very infected in the tissues, same MRSA..this time they take the joint out, put in antibiotic spacer,put him on IV antibiotics for 8 weeks..now we are at the end of the 8 weeks..his leg is HUGE..it has gotten more huge in the past 2 weeks than it was during the first 6 weeks after surgery...they aspirated this week, only got a few drops of blood out..will culture by Monday and he is on the surgery list for knee replacement..I'm scared...it does not show in lab work, they were unable to aspirate infectious material before when it was infected...I just don't know how they can be sure, and the fact is..they can't....anyone else on this merry go round?  I'm in my 40's, he's in his 50's and we still have young children at home..I'm afraid we are headed for more and more of this and possible amputation too..He's a drummer..so that would break his heart..

Offline Jaci

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Re: Second round of MRSA in TKR...scarey
« Reply #1 on: June 12, 2006, 01:01:36 AM »
Hello Kailin,

You may want to take a look and post down in the total knee replacement section (look under Arthritis Department). There are a number of people who have battled post-TKR infection. Hopefully someone can offer you suggestions and advice.

Best wishes to you and your husband.

Jaci
10/03 Twist injury
12/03 Menisectomy- tears ACL, MCL, & LCL missed by OS
Arthrofibrosis ROM 38-68
3/04- 4/08 Multiple scar tissue procedures:
6 scopes w/LOA, AIR, LR, chondroplasty, synovectomy, bone spur & plica removal
3 insufflations, many injections
Chronic AF, patella infera, IPCS

Offline kscarpetta

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Re: Second round of MRSA in TKR...scarey
« Reply #2 on: July 08, 2006, 10:33:29 PM »
Hi Kalin,

I am so sorry to hear about all you and your husband are going through.

My best friend's husband was recently rushed into hospital with similar issues to those your husband has had. He was in a comma for a week and almost died 3 times. Various infections hit his body and it did not look good.

However last weekend he came home after 3 months in hospital and is currently on the road to a full recovery. Granted his lifestyle has had to change - diet and restricted excersice (he is 52), but most importantly he is still very much with us.

You have to stay strong at least in front of him and your children. Hopefully you have some good friends around who you can break down with. You need to find people that you can be honest with about how you are feeling. That way you can find the strength to carry on being the strong one for your family.

I am sending you all my hopes and prayers and hope that the news is good very soon.

K















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