Publications by authors named "Zachary J Buchman"
Article Synopsis
- The text discusses a case study of a 35-year-old woman with a history of intravenous drug use and poor dental health, who was hospitalized for lower back pain after treatment for a suspected epidural abscess.
- MRI showed possible infectious sacroiliitis, and blood cultures tested positive for a specific opportunistic bacteria, leading to a decision to treat her with ceftriaxone rather than a central catheter discharge.
- The case highlights the rarity and seriousness of bacteremia with septic sacroiliitis, emphasizing the need for early detection in patients with high-risk factors like extensive drug use.
The case presented in this article is one of recurrent left posterior periprosthetic knee dislocation (PPKD) in a patient with altered mental status (AMS). The patient, a 69-year-old female with a complex medical history including dementia, Ménière's syndrome, and left total knee arthroplasty, presented to the emergency department with AMS whereupon a left PPKD was discovered. Less than three weeks before this presentation, she sustained a left PPKD during a previous admission.
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