Case Presentation: A previously healthy 39-year-old male with a bicuspid aortic valve and mitral valve prolapse presented with three months of intermittent bilateral retro-orbital headache, abdominal discomfort, subjective fevers, night sweats, and 10-kg weight loss. Two weeks prior to admission, he developed acute left-sided vision loss and left-sided weakness, and was diagnosed with right parietal [...]

Case Presentation: A 58 year old man with history of Enterococcus faecalis endocarditis and mechanical aortic valve replacement on oral anticoagulation presented to the emergency department with epigastric and right upper quadrant abdominal pain, melena, hematochezia, and hematemesis of one weeks’ duration. Physical exam revealed jaundice and abdominal tenderness in the right upper quadrant and [...]

Case Presentation: This is a 58 year old male with a past medical history of MDD, GAD, history of polysubstance abuse, history of enterococcus bacteremia complicated by aortic valve endocarditis status post valvular replacement and hemorrhagic stroke who was admitted to the hospital for urosepsis. Of note, this patient was previously hospitalized for Lactobacillus bacteremia [...]

Case Presentation: A previously healthy53-year-old male, who had undergone dental treatment one week before, was transfered to our hospital with the symptoms of acute-onset cephalgia and right homonymous hemianopia. Upon physical examination, cardiac auscultation revealed a pan-systolic murmur (Levine 2/6), with maximal intensity at the apex. Laboratory analyses revealed leukocytosis with a white blood cell [...]

Case Presentation: A 91-year-old Japanese man was referred to our institution for the management of a ruptured thoracic aortic aneurysm. Two days prior, he had been admitted to another hospital with a one-week history of fever. Chest computed tomography (CT) revealed fluid accumulation around the descending aorta and a left pleural effusion, which was bloody, [...]