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Minnesota Department Of Health Articles & Resources

Unexplained Deaths Following Knee Surgery—Minnesota, November 2001 - Notice to Readers - Minnesota Department of Health recommends suspension pending investigation - Brief Article

The Minnesota Department of Health (MDOH) has received reports of three previously healthy persons who died unexpectedly following uncomplicated knee surgery; two had total knee replacements and one had a cartilage graft implantation.

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News & Top Stories

First Human Case of West Nile Reported in Minnesota -- Health Expert Offers Prevention Techniques
BLOOMINGTON, Minn., July 14 /PRNewswire/ -- The Minnesota Department of Health today announced the first human case of West Nile virus disease in Minnesota for 2005.

Total Minnesota Abortions Drop to Lowest Level in 30 Years, Report Says; Some Attribute Decline to Waiting-Period Law
The number of abortions performed in Minnesota in 2004 dropped to the lowest level in 30 years, according to a... report published on Tuesday by the state Department of Health , the St. Paul Pioneer Press reports (Stassen-Berger, St. Paul Pioneer Press, 7/13). Physicians in the state performed 13,788 abortions in 2004, marking the first time since 1975 that fewer than 14,000 abortions were

Year's first case of West Nile in human reported
ST. PAUL - The state Health Department reported the year's first human case of the West Nile virus in Minnesota on Thursday. An adult Wadena County woman tested positive for the virus. She became ill in late June with symptoms including high fever and severe headache.

Reopening Canadian Borders to Beef Hurts Some Minnesota Ranchers
Jul. 16--Thursday's court decision reopening the Canadian border to cattle imports is good news for U.S. meat processors and their packing-house employees, but it will come at a price for ranchers who have been supplying American feedlots with live calves, some Minnesota ranchers said Friday.


The surgeries were performed at two local hospitals. Two patients died on November 11, 2001, and one died on November 16, approximately 36-82 hours following surgery. CDC is assisting MDOH in the investigation of these events.

All three patients became ill 1-4 days following surgery. Symptoms included severe abdominal pain and a sudden decline in blood pressure followed by a fulminant course with death within 24 hours of symptom onset. The clinical course was consistent with septic or cardiogenic shock. After 5 days of incubation, a blood culture taken from one of the patients yielded Clostridium sordellii. The source of infection in the one patient and the cause of death in all patients remain unknown.

In response to these deaths, MDOH is recommending that all elective knee surgery in Minnesota be suspended pending findings of the investigation. To identify possible cases in other areas, CDC is seeking reports of patients who have had orthopedic surgery since October 1, 2001, involving the knee or other large joint, and within 7 days following surgery who have 1) had hypotension and other clinical findings of cardiogenic or septic shock or abdominal pain; 2) had no other identified cause; and 3) required intensive care or have died. Clinicians should report such patients to their state health department or CDC's Division of Healthcare Quality Promotion, telephone 800-893-0485.

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