Case Presentation: A 68 year old male with a history of end stage renal disease (ESRD) on hemodialysis, s/p cardiac transplant for refractory ischemic cardiomyopathy, and Cerebrovascular accident presented to the emergency department (ED) with fevers, lethargy and penile discharge. In the ED, he ws noted to be febrile with a temperature of 102.7 ºF.  He had no frank hematuria, flank pain, chest pain, [...]

Case Presentation: A 69 y/o male with no known PMH with a complicated hospital course highlighted by PE s/p TPA, AWSTEMI s/p DES to pLAD and septic shock leading to AKI requiring CVVH. For septic shock, Vancomycin, Zosyn, Ertapenem, and Ceftriaxone were started empirically. Infectious workup was only remarkable for klebsiella UTI which was found sensitive [...]