A 73-year-old female presented herself to the emergency department (ED) with complaints of fever , chills , and night sweats . She reported consuming 80 packs of cigarettes in a year and continued smoking. Medical history Hypertension Diabetes Chronic renal insufficiency Diverticulosis Chronic cough Aortobifemoral bypass grafting was performed six years ago to treat abdominal aortic aneurysm and bilateral iliac artery occlusive disease. Coronary artery disease for which the patient underwent coronary artery bypass grafting a year ago Recent hospitalization history The patient was hospitalized three weeks ago due to hematochezia and fever .
Physical examination revealed the presence of several large external haemorrhoids . Both urine and blood cultures were positive for Escherichia coli and Serratia marcescens , respectively. Transthoracic echocardiography revealed no valvular…
