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a University of Ottawa Heart Institute, Ottawa, Ontario, Canada
b The Ottawa Hospital, Ottawa, Ontario, Canada
* Address correspondence to Dr Chan, University of Ottawa Heart Institute, 40 Ruskin St, Rm H3411, Ottawa, Ontario, K1Y 4W7, Canada (Email: kchan@ottawaheart.ca).
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A 52-year-old man with a prior bioprosthetic aortic valve replacement (Carpentier-Edwards valve; Edwards Lifesciences, Irvine, CA) for Staphylococcus aureus endocarditis 2 years earlier was admitted with sudden onset of fever, headache, vomiting, and confusion. Blood cultures were positive for S aureus.
He was transferred to University of Ottawa Heart Institute 9 days later because of a persistent fever despite
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