Patient implanted with a heartmate 3 left ventricular assist device (lavd) with chronic cipro-resistant pseudomonas driveline infection was admitted for third hospitalization with worsening infection symptoms only four weeks after previous course of iv antibiotics (meropenem) ended.Cultures confirmed meropenem resistance, with addition of new pseudomonas bacteremia.The infection course was additionally complicated by culture-confirmed infection of left knee hardware.From a surgical standpoint, patient required a total of three surgical incisions and drainages (i&d) to the driveline tract on this year alone.A wound vacuum-assisted closure (vac) dressing was also applied.Patient also required a surgical i&d of the left knee with poly exchange after three separate attempts to reduce the knee dislocations that occurred during this year.Patient was discharged on avycaz course.
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