It was reported that the patient had undergone a revision acl procedure on 6/12/20.During the procedure a lifenet fgl was used.Patient had developed an infection.Surgeon washed out the knee.So far nothing has grown on cultures, but he will have to take the allograft out if the patient doesn¿t get better.The reporter also copied lifenet in on their initial report to arthrex.Graft id: 1913080-1009.Additional information provided on 7/8/2020: the physician reported the patient had a prior acl surgery many years ago (>7) and a revision was performed on (b)(6) 2020.No evidence of any prior osteo or infection in the past.The primary surgery was performed by a different surgeon.The surgeon cannot confirm if arthrex products were used during the primary procedure.The patient decided to have it finally revised, but had been living without their acl for awhile.The index revision acl surgery was on (b)(6) 2020.Washout was performed one week later on (b)(6) 2020.No implants were explanted at the time of the washout.The following arthrex products were implanted during the revision surgery; fgl // graft id: 1913080-1009.Ar-1588tn-1 // lot: 10655198.Ar-1588btb // lot: 10591147.Ar-2270 // lot: 10779787.Following the revision surgery; the patients symptoms were fevers, night sweats and feeling ill, malaise, weight loss, knee pain and effusion.The patient had elevated esr and crp.Some bacteria noted in the cell count but never grew anything from all the multiple cultures.The patient responded better to iv abx with ceftriaxone via a picc line.The patient is doing better, but still having some night sweats.Knee is looking and feeling better.Due to the unusual presentation and lack of culture results, the surgeon and the id consultants are concerned about possible contaminated graft or possible mycobacteria, etc.
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