They thought my bacteria was a gram positive staph but now believe it was a gram positive P. Acne. Apparently nothing ever grew in the multiple cultures they did. I was on all sorts of antibiotics during the clean out hospital stay. I went home with medicine balls of Vancomycin - two 2 hour infusions a day. After about a week and a half, I started getting intermittent high fevers. My doctor wasn’t sure if it was the tibia bone infection getting worse, or an infection in the picc line, or a severe reaction to the Vancomycin (this was it). My white blood cell count dropped to zero, and I had very dangerous neutropenia. I went back into the hospital for 5 days to get the neutropenia under control and to prevent sepsis. Then I was sent home with Daptomycin (one 40 minute infusion a day). IV infusions lasted 8 weeks. Then after my final revision, I was on oral antibiotics for 30 days. I hope this was good enough!!!
The source of my infection is up for debate. It didn’t present itself until 7 months post op. And even then, the only pus found was under the lower plate in the stem hole the surgeon had drilled in my tibia bone. It was a very slow growing bacteria. If it was P. Acne, it came from my skin and got in there during the original surgery despite the extensive infection prevention protocol we followed. If it was staph, I believe it came from an ingrown hair in my bikini area. With BTKR, rolling over in bed was very difficult and caused a lot of friction in that area. I remember getting a dime sized red bump there during the first month and a half post op. It eventually broke open and drained. I didn’t think anything of it, but now I know I should have seen my doctor for antibiotics. You’d better believe that any knick, cut, or bump I get anywhere on my body will be watched like a hawk from now on!!!!