Case Presentation: A 65-year old man with a history of coronary artery disease, heart failure, and Crohn’s disease, who is a resident of northern Wisconsin presented with fevers, headache, and neck stiffness. Due to concern for meningitis, he was started empirically on Ceftriaxone, Vancomycin, Ampicillin, and Acyclovir. One day after initiation of therapy, he developed [...]