Case Presentation: A 68-year-old male with neurogenic bladder requiring self-catheterization, atrial fibrillation on coumadin, and osteoarthritis on chronic ibuprofen presented with lower extremity weakness after a fall. He was found to have a supratherapeutic INR of 6.6 and temperature of 39°C. Laboratory work showed leukocytosis to 15.5 th/mm3 and urinalysis with 3+ leukocyte esterase and [...]