Pt received bilateral euflexxa intra-articular knee injections on (b)(6) 2018.Pt then presented to the clinic on (b)(6) 2018 with a swollen and painful left knee.He had a joint aspiration and was diagnosed with a left knee effusion.Culture was done on left knee joint fluid which resulted in (b)(6).Pt was subsequently placed on antibiotics (clindamycin) as an outpatient and was instructed to call if symptoms worsen.On (b)(6) 2018, the pt returned to the clinic for a f/u routine visit.The care providers did not feel any infection was present at this visit.Therefore, arthrocentesis of left knee (for joint crystals) was performed.Pt also received an intraarticular injection of a steroid into his left knee.He returned to the clinic for f/u on (b)(6) 2018 and he received the 2nd of 3 euflexxa injections for the right knee only.Pt was responding to steroid injection in the left knee and instructed to return to clinic in 1 week to finish series in right knee.Pt presented to the emergency department on (b)(6) 2018, for left knee pain and swelling and was subsequently diagnosed with a septic left knee and admitted for incision and drainage.Picc-line placement, and iv antibiotics.The results of the joint culture from the incision and drainage resulted in (b)(6).Dose or amount: 20 mg milligram(s).Frequency: 3 inj - 1 wk apart.Route: intra-articular.Therapy date: (b)(6) 2018.Diagnosis or reason for use: osteoarthritis.
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