BACKGROUND
A 56-year-old man has a cough, fever, chills, and dyspnea that developed over 2 months. He received a course of macrolide and fluoroquinolone antibiotics, without improvement. The patient previously underwent mechanical aortic valve replacement because of aortic stenosis.
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Hint
This patient has a history of ventricular tachycardia.
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Author:
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Sat Sharma, MD
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Associate Professor, University of Manitoba, Department of Medicine, Division of Pulmonary Medicine
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eMedicine Editor:
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Bruce Maycher, MD
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University of Manitoba
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eMedicine Case
