This report describes a 58-year-old insulin-dependent diabetic male patient who initially sustained a proximal humerus fracture from a fall. The fracture fixation failed and then was converted to a humeral hemiarthroplasty, which became infected withCandida glabrataandSerratia marcescens. After these infections were believed to be cured with antibacterial and antifungal treatments and two-stage irrigation and debridement, he underwent conversion to a reverse total shoulder arthroplasty. Unfortunately, theC. glabratainfection recurred and, nearly 1.5 years after implantation of the reverse total shoulder, he had a resection arthroplasty (removal of all implants and cement). His surgical and pharmacologic treatment concluded with (1) placement of a tobramycin-impregnated cement spacer also loaded with amphotericin B, with no plan for revision arthroplasty (i.e., the spacer was chronically retained), and (2) chronic use of daily oral fluconazole. We located only three reported cases ofCandidaspecies causing infection in shoulder arthroplasties (twoC. albicans, oneC. parapsilosis). To our knowledge, a total shoulder arthroplasty infected withC. glabratahas not been reported, nor has a case of aC. glabrataandS. marcescensperiprosthetic coinfection in any joint. In addition, it is well known thatS. marcescensinfections are uncommon in periprosthetic joint infections.

News (Medical) associated with St. Mark's Medical Center

05 Mar 2021

·www.beckershospitalreview.com

100 top rural & community hospitals, by state

The Chartis Center for Rural Health recently released its annual list of the top 100 rural and community hospitals in the U.S. To determine the 2021 list, the Chartis Center used the Hospital Strength Index, which assesses performance in eight areas: inpatient market share, outpatient market share, quality, outcomes, patient perspective, cost, charge and financial efficiency. The top 100 rural and community hospitals in the U.S., by state: Arkansas Chambers Memorial Hospital (Danville) White River Medical Center (Batesville) California Sutter Amador Hospital (Jackson) Colorado Mercy Regional Medical Center (Durango) Montrose Memorial Hospital UCHealth Yampa Valley Medical Center (Steamboat Springs) Vail Health Hospital Valley View Hospital Association (Glenwood Springs) Florida Baptist Medical Center-Nassau (Fernandina Beach) Georgia Jefferson Hospital (Louisville) Iowa Lakes Regional Healthcare (Spirit Lake) Spencer Municipal Hospital St. Anthony Regional Hospital & Nursing Home (Carroll) Trinity Muscatine Trinity Regional Medical Center (Fort Dodge) Idaho Madison Memorial Hospital (Rexburg) Indiana Henry County Memorial Hospital (New Castle) Major Hospital (Shelbyville) Memorial Hospital (Logansport) Memorial Hospital and Health Care Center (Jasper) Schneck Medical Center (Seymour) Kansas AdventHealth Ottawa Mercy Hospital (Moundridge) Newton Medical Center Pratt Regional Medical Center Kentucky TJ Samson Community Hospital (Glasgow) Maryland Atlantic General Hospital (Berlin) Garrett County Memorial Hospital (Oakland) UMD Shore Medical Center (Easton) Maine Franklin Memorial Hospital (Farmington) Penobscot Bay Medical Center (Rockport) Michigan Ascension St. Joseph Hospital (Tawas City) Chippewa County War Memorial Hospital (Sault Sainte Marie) McLaren Lapeer Region MidMichigan Medical Center (Alpena) Munson Healthcare Cadillac Hospital Munson Healthcare Manistee Hospital ProMedica Coldwater Regional Hospital Spectrum Health Big Rapids Hospital UP Health System Portage (Hancock) Minnesota Alomere Health (Alexandria) Mayo Clinic Health System-Red Wing Owatonna Hospital Missouri Mercy Hospital Washington Montana Bozeman Health Deaconess Hospital Kalispell Regional Medical Center Northern Montana Hospital (Havre) St. Peter's Hospital (Helena) Nebraska Columbus Community Hospital New Mexico Guadalupe County Hospital (Santa Rosa) New York St. James Hospital (Hornell) Ohio Community Hospitals and Wellness Centers (Bryan) Fisher-Titus Hospital (Norwalk) Memorial Hospital (Fremont) Mercy Health-Tiffin Hospital University Hospitals Samaritan Medical Center (Ashland) Oklahoma Ascension St. John Jane Phillips (Bartlesville) Stillwater Medical Center Oregon Mercy Medical Center (Roseburg) Sky Lakes Medical Center (Klamath Falls) Willamette Valley Medical Center (McMinnville) Pennsylvania Geisinger Lewistown Hospital Penn Highlands Huntingdon Punxsutawney Area Hospital UPMC Somerset South Carolina Newberry County Memorial Hospital South Dakota Avera Queen of Peace (Mitchell) Avera Sacred Heart Hospital (Yankton) Avera St. Luke's (Aberdeen) Avera St. Mary's Hospital (Pierre) Brookings Health System Prairie Lakes Hospital (Watertown) Texas Childress Regional Medical Center Columbus Community Hospital Cuero Regional Hospital Guadalupe Regional Medical Center (Seguin) Hill Country Memorial Hospital (Fredericksburg) Peterson Regional Medical Center (Kerrville) Rolling Plains Memorial Hospital (Sweetwater) Seymour Hospital St. Mark's Medical Center (La Grange) Utah Ashley Regional Medical Center (Vernal) Bear River Valley Hospital (Tremonton) Castleview Hospital (Price) Cedar City Hospital Sevier Valley Hospital (Richfield) Virgina Riverside Shore Memorial Hospital (Onancock) Vermont Central Vermont Medical Center (Barre) Washington Olympic Medical Center (Port Angeles) Wisconsin Aurora Lakeland Medical Center (Elkhorn) Aurora Medical Center Bay Area (Marinette) Aurora Medical Center Manitowoc County (Two Rivers) Fort Memorial Hospital (Fort Atkinson) Sauk Prairie Hospital (Prairie Du Sac) SSM Health St. Clare Hospital (Baraboo) The Monroe Clinic Wyoming Evanston Regional Hospital Ivinson Memorial Hospital (Laramie) Sheridan Memorial Hospital St. John's Medical Center (Jackson)

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