MR Night Float Interesting Case with The Kanch: Epidural abscess

An elderly patient with back pain called to ED for + blood cultures 2 weeks s/p treatment for Klebsiella UTI found to have epidural abscess.
-Initially, there was a high suspicion for endocarditis given the new murmur found on exam – prompting discussion of empiric therapy
   -For native valve endocarditis – common pathogens include S. aureus, Streptococci, Occasional gram negative rods and HACEK organisms – treatment of choice is Vancomycin + Ceftriaxone
   -For prosthetic valve endocarditis – common pathogens include S. aureus and S. epidermis; treatment of choice is Vancomycin + Rifampin + Gentamicin
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