Articles Posted in Infectious Disease

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A Minnesota Appellate Court has held that expert testimony was required to prove a plaintiff’s claim that the paramedic’s negligent transfer was the cause of a patient’s ankle injury and later resulted in a leg amputation.

Mary C. suffered from various health problems and was a left-leg amputee. After she developed respiratory problems, Mary called an ambulance. When the ambulance arrived, she was being moved from her wheelchair to a stretcher. While she was being moved, she suffered a fractured right ankle. This fracture led to unsuccessful ankle surgeries followed by infection and ultimately the amputation of her right leg.

Mary C. sued the ambulance service, alleging its paramedics were negligent in transferring her to the stretcher and caused her fall and ankle fracture, which ultimately led to the amputation of her right leg. The defendant moved to dismiss, arguing that Mary had failed to serve the required affidavit of expert identification within the statutory time frame. The court granted defendant’s (the ambulance service) motion to dismiss.

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Anthony Bausal was transported by ambulance to the emergency department at OSF St. Joseph Medical Center in Bloomington, Ill., on Sept. 20, 2008. Bausal had a cellulitis infection in his left leg, increased pain and shortness of breath. He also had underlying conditions of lupus nephritis, cardiomyopathy and chronic anemia.

Bausal, 34, was admitted into the hospital, where additional testing showed that he had a dangerously low cardiac ejection fraction of 20-25% (55% is considered normal), which is the measure of how the well or poorly the heart is pumping out blood through the body. He also had acute anemia and a gastric ulcer with erosive gastritis of the stomach.

One of the defendants, a general surgeon, Dr. Darryl Fernandes, was consulted on Sept. 25, 2008 because of concern about an infectious process in Bausal’s left leg.

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John Antonucci was 52 years old at the time he underwent an MRI with contrast on his right hip. Two days later he was admitted to the hospital complaining of pain in the same hip. An orthopedic surgeon, Dr. Jason Fond, obtained a culture and later discharged Antonucci with a diagnosis of “inflammation.” One and a half days later, Antonucci was diagnosed as having septic arthritis.

As a result, Antonucci required a hip replacement and now suffers from chronic pain, which prevents him from doing many of the daily activities of living or returning to his job as a construction worker where he was earning $35,000 per year.

Antonucci and his wife filed suit against Dr. Fond and his practice, claiming that Dr. Fond chose not to timely treat the infection and that evidence of such infection was present on the culture results that the doctor ordered. The plaintiffs claimed that Antonucci required a timely surgical washout of the wound created by the contrast injection and that the delay in treatment allowed the infection to progress to dangerous levels.

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Barbara Watt underwent a hiatal hernia repair surgery. The procedure was carried out by general surgeon Dr. Cimenga Tshibaka, and it was unsuccessful. Dr. Tshibaka performed a second surgery, this time using a synthetic surgical mesh. The second surgery was about 2 weeks after the first.

The following month, Watt was diagnosed as having an esophageal leak, which required nine additional surgeries to, among other things, remove the synthetic mesh that had eroded into her esophagus.

As a result of these many surgeries, Watt must now eat slowly and in limited amounts. She must also wear special undergarments due to scarring and is unable to bend over to lift more than 5 pounds. She also missed time from her job as a financial operations specialist where she was earning $21 per hour.

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On Aug. 1 to Aug. 3, 2012, Luis Enrique Acevedo Muro M.D. attended a medical conference at the J.W. Marriott Hotel on Adams Street in downtown Chicago. While staying at the hotel, which was recently renovated and located at 151 W. Adams St., Dr. Acevedo was exposed to dangerous aerosolized water vapor from the hotel fountain, which was contaminated by Legionella bacteria. As a result, Dr. Acevedo, 80, contracted Legionnaires’ disease and was hospitalized at the University of Miami Hospital on Aug. 8, 2012 with fever, shortness of breath and hypoxia, which is a reduced blood flow with oxygen to the body.

Dr. Acevedo suffered from several pre-existing co-morbidities, including Stage 3 chronic kidney disease, coronary artery disease, diabetes and hyperlipedemia. Due to these serious medical conditions, Dr. Acevedo rapidly deteriorated, and he was transferred to the intensive care unit, but he subsequently became hypotensive, required intubation and then died on Aug. 14, 2012.

Dr. Acevedo was survived by his second wife and their daughter as well as four older daughters from his previous marriage. His family’s claim for medical expenses was $131,000. The hotel admitted liability and causation, but contested the damages.

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