Abstract

Setting: Tertiary care rehabilitation facility. Patient: A 55-year-old man with a history of intravenous substance use who presented with a change in mental status and was diagnosed with infective endocarditis. Case Description: The patient presented to a medical center after being found down in his home with mental status changes, myoglobinuria, respiratory insufficiency, and septic shock. Workup revealed gram positive cocci in 4/4 bottles, acute renal failure, and endocarditis. Patient was subsequently intubated and had a chest tube placed for a spontaneous pneumothorax on day 1.

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