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Medical Forum / Diseases and Disorders / Arthritis / June 2007

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staph in TKR anyone?

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Jan O - 03 Jun 2007 16:10 GMT
I feel like I've been struck by lightning.  My 9 yr. old TKR suddenly
swelled and became so painful that within 12 hrs. I couldn't get into a car
to get to the ER.  Had to call an ambulance.  I thought maybe it was a blood
clot but it was staph aureus.  There was no wound--don't know how it
happened.  First I had an arthroscopy and 3 days of antibiotic IV's in the
hosp., went home and did 2 more wks. of daily IV's at the hosp. (2 wks. of 8
a.m., 4 p.m. and midnight), then a replacement knee with a medicated
temporary knee followed by 8 wks. on daily IV's at the hosp. and now an RX
for 1 yr. of 4/day antibiotic pills.  Of course, I am now off Remicade and
MTX and really feel the pains returning.  Anyone else had this happen?
What's next?  The knee is "temporary" but doc said he has 1 person whose
knee has been in place 3 yrs.  Jan O'
debbie m - 03 Jun 2007 17:23 GMT
Jan,

I'm so sorry to hear of your troubles.  I haven't heard of this but I
guess anything can happen.  I hope that you are now on the road to
recovery.  Are you able to bare weight and walk on it now?  Just
wanted you to know you are in my thoughts.

debbie m.
DeeTee and Bob Taggart - 03 Jun 2007 17:30 GMT
Yuck! That doesn't sound fair, Jan. Hang in there, Hon, and get well soon.
Hope you have help at home. It's sucks that you had to go up to the hospital
so often. I thought I had it bad with 2X a week!

DeeTee

>I feel like I've been struck by lightning.  My 9 yr. old TKR suddenly
>swelled and became so painful that within 12 hrs. I couldn't get into a car
[quoted text clipped - 8 lines]
>What's next?  The knee is "temporary" but doc said he has 1 person whose
>knee has been in place 3 yrs.  Jan O'
spodosaurus - 03 Jun 2007 20:29 GMT
>> I feel like I've been struck by lightning.  My 9 yr. old TKR suddenly
>> swelled and became so painful that within 12 hrs. I couldn't get into a car
[quoted text clipped - 8 lines]
>> What's next?  The knee is "temporary" but doc said he has 1 person whose
>> knee has been in place 3 yrs.  Jan O'

Skin wounds and infections can allow some bacterial migration through
blood and lymph, particularly if you're already on drugs that suppress
the immune response, like DMARDs. If a bug sets up a colony on a foreign
body inside you, like a joint replacement, then this sort of thing can
happen. I don't know what else to say except prioritise your antibiotics
above all else, make getting them on time every day a religion.

Ari

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Donna G. - 03 Jun 2007 20:48 GMT
Ari is right, right now the antibiotics take priority above all else,
especially with a bug like staph aureaus which can be very difficult to
eradicate.

I wonder if this is something similar to what Rose B's, sister went
through.   Maybe she'll pop in and add to this thread.

Good luck to you and sure hope that you can get on top of this and get
things resolved!
.
.
.

Donna
.
.
.
.
1.   ANGELS EXIST, but some times, since they don't all have wings, we
call them FRIENDS......

2.    J.K.M.A.
jofirey - 03 Jun 2007 18:07 GMT
>I feel like I've been struck by lightning.  My 9 yr. old TKR suddenly
>swelled and became so painful that within 12 hrs. I couldn't get into a car
[quoted text clipped - 8 lines]
>What's next?  The knee is "temporary" but doc said he has 1 person whose
>knee has been in place 3 yrs.  Jan O'

This happened to my BIL about ten years ago.  But we don't see them much and
I really don't know what all he went through.  Only that it was successful,
he is still with us and still on his feet.

Jo
Smokie Darling (Annie) - 04 Jun 2007 00:27 GMT
> I feel like I've been struck by lightning.  My 9 yr. old TKR suddenly
> swelled and became so painful that within 12 hrs. I couldn't get into a car
[quoted text clipped - 8 lines]
> What's next?  The knee is "temporary" but doc said he has 1 person whose
> knee has been in place 3 yrs.  Jan O'

Oh my word...  You know I got staph in my knee (it's *my* knee though,
not a replacement) in 02.  Nearly died because my PCP had no idea what
was going on, just drew fluid off and gave me a shot of some steroid
or other.  They had sent the fluid for testing, "just to be safe",
good thing they did.  Ended up in hospital for a week.

The reason I say this, I had no injuries at all.  I didn't have an RD
at that time, but the infectious diseases doctor (who said he was
completely unfamiliar with the strain of staph I had) said it was
possible I got it from the Remicade Infusions (the pain and slight
swelling started a day or two after an infusion).  It's "possible"
however unlikely that the staph got into your system during the
infusion, like mine did.

I had an IV pump for the antibiotics.  The one I had was worn in a
pack, worn around the waist, it was set to go off every 4 hours, so I
had constant antibiotic treatment without having to go into the
hospital.  Nurses came out every other day to change the IV bag for
me, though I could have done it myself.  Had that for 4 or 6 weeks
(was on alot of pain killers at the time), then had oral antibiotics
for another 4 weeks.  I see that you aren't doing the hospital visits
anymore though, so that's a good thing.

As has already been stated, make certain  you take your antibiotics on
schedule.  You already know how much staph hurts, but it can get so
much worse.

Smokie Darling (Annie) - sending positive thoughts your way
Donna G. - 04 Jun 2007 01:19 GMT
Annie,

I got sepsis one time from a pic line that I was getting some treatment
through.  Got an infection with the staph aureous and ended up in ICU
and on two very heavy duty antibiotics through a new line, as the old
pic line was the entry point for the staph infection and the sepsis.
Was sicker than a dog for a long time.   Staph is not something to play
around with at all.
.
.
.
.

Donna
.
.
.
.
1.   ANGELS EXIST, but some times, since they don't all have wings, we
call them FRIENDS......

2.    J.K.M.A.
Smokie Darling (Annie) - 04 Jun 2007 23:00 GMT
> Annie,
>
[quoted text clipped - 10 lines]
>
> Donna

Oh, I know.  The surgeon came in the next day and told me that if I
had waited to come in (wanted to be able to call my boss personally),
that I probably would have died.  He said as it was, they weren't
certain I'd be alright for about 5 of the 7 days I was there.

SD (Annie)

> .
> .
[quoted text clipped - 4 lines]
>
> 2.    J.K.M.A.
nanny - 05 Jun 2007 05:37 GMT
Wow, Annie, this was too close for comfort.  Glad you survived for sure!
Nanny
>> Annie,
>>
[quoted text clipped - 26 lines]
>>
>> 2.    J.K.M.A.
Smokie Darling (Annie) - 07 Jun 2007 00:12 GMT
> Wow, Annie, this was too close for comfort.  Glad you survived for sure!
> Nanny

Why thank you Nanny.

My husband's response to the surgeon (once he knew I'd be alright),
she's just too da*n stubborn to go that easy.  Actually made the poor
man laugh, since he'd dealt with me arguing with him in the ER about
whether I would have the surgery or not.

I did send him a thank you card after I'd gone home.  Wanted him to
know how much I appreciated his willingness to argue with the single
most hard headed woman in the world, to keep her where she needed to
be, and *make* her have the surgery.

Every year, on the anniversary (July 6), I send him an anniversary
card (good thing the doc's wife knows me), thanking him for giving me
the extra time.

Smokie Darling (Annie)

> >> Annie,
>
[quoted text clipped - 28 lines]
>
> - Show quoted text -
RoseB - 04 Jun 2007 01:16 GMT
>I feel like I've been struck by lightning.  

Wow! How frightening for you. This is an important reminder that those
of us with various replaced joints need to be extra careful.

My sister went through something like 16 months of infection (
probably staph aureus) following her tkr. She was on all kinds of
antibiotics, and finally had the prosthesis removed, the puck (that is
what they called it) put in, and eventually removed. She is fine now,
but she was at the point where amputation seemed to be the only thing
left.
    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
 
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