The patient was a 75 year old
African-American man with a history of hypertension, hyperlipidemia, diabetes
and chronic kidney disease who presented with a low grade fever and
leukocytosis. His blood pressure was 167/76 mmHg, heart rate 102 BPM, and temperature 100.4⁰F. A II/VI diastolic murmur was present.
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| Aerococcus Urinae |
He was somnolent but
easily arousal on presentation to the hospital. Neurological examination was
otherwise notable for global aphasia, left gaze preference, right nasolabial
fold flattening, and right lower extremity drift. Laboratory testing included a
normal basic metabolic panel except for an elevated keratinize (2.3 mg/dL), BUN
(24 mg/dL) and glucose (277 mg/dL). There was a neutrophil-predominant
leukocytosis (WBC 16.5×109/L) and normocytic anemia (Hg 13.4 g/dL, MCV 91fL)
with a normal platelet count. Read more>>>>>>>>>>>
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