Case 46: Introduction

Case Published: July 2020
Case Submitted By: Stephen West

History of Present Illness (HPI)


You have been asked to see a 65-year-old woman admitted to the intensive care unit (ICU) due to penicillin-sensitive Staphylococcus aureus endocarditis. The infection is thought to be due to a lower extremity wound infection that is now slowly healing after debridement. She has been admitted for 14 days, though had not been feeling well for 2 weeks prior to admission. 48 hours ago, seizures were observed and she required intubation. She is currently on intravenous lorazepam and propofol infusions.

She has been treated with intravenous penicillin, and blood cultures have now cleared. Other inpatient medications include acetaminophen which has been given regularly for pain and fever. She has also been receiving prophylactic dose low-molecular weight heparin as well as ondansetron and tramadol as needed.

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