Pt id: (b)(6), on (b)(6) 2001, he received a left total hip arthroplasty for severe osteoarthritis of the left hip.Implant was a conserve plus resurfacing size 60/50.The resurfacing improved him and he does not endorse any problems at the hip.Though, he was developing significant pain at the right hip due to osteoarthritis of the right hip.Since the resurfacing, he has noticed ringing in ears and hearing loss and numbness in all fingers of the left hand.He also developed a fine rest tremor of the right hand.On (b)(6) 2018, his urine cobalt level was 3.2 mcg/l, cobalt blood level was 0.6 mcg/l, and chromium serum level was 1.0 mcg/l.Metal suppression mri of the left hip showed no sings of adverse reaction to metallic debris about the left hip.Fdg pet brain scan with neuro q analysis showed focal and generalized mild hypometabolism potentially suggestive of early chronic toxic encephalopathy.His elevated cobalt levels, early brain changes, and neurological symptoms are concerning and should be investigated further.Fda safety report id# (b)(4).
|