Description of Event or Problem · 1
PATIENT UNDERWENT REVISION OF RIGHT TOTAL HIP REPLACEMENT WITH MOBILE BEARING ACETABULAR COMPONENT, OPEN REDUCTION INTERNAL FIXATION OF PERIPROSTHETIC FEMUR FRACTURE; REMOVAL OF ANTIBIOTIC SPACER DEBRIDEMENT OF RIGHT HIP JOINT AND FEMUR; APPLICATION OF NEGATIVE PRESSURE WOUND DRESSING DUE TO RECURRENT PERIPROSTHETIC FRACTURE RIGHT FEMUR INVOLVING ANTIBIOTIC SPACER. THE SPACER HAS BEEN IN PLACE APPROXIMATELY FOR 4 MONTHS TREATING A CANDIDA LUSITANIAE AND ENTEROBACTER INFECTION OF A RIGHT TOTAL HIP REPLACEMENT THE SPACER WAS IMPREGNATED WITH VORICONAZOLE AND AMPHOTERICIN AND ANTI-BACTERIAL ANTIBIOTICS AS WELL. PATIENT ALSO UNDERWENT 2 PER-OPERATIVE ASPIRATIONS APPROXIMATELY A MONTH APART, BOTH OF WHICH HAVE BEEN PROVEN NEGATIVE FOR INFECTION OF BACTERIA AND NEGATIVE FOR FURTHER INFECTION WITH CANDIDA.