A man in his 70s with a medical history of coronary artery disease presented to the emergency department with fever and chills. The patient underwent a metatarsophalangeal arthrodesis for toe clawing 3 days prior and had been discharged the same day with a 14-day course of cephalexin for postoperative surgical site infection (SSI) prophylaxis. He presented on postoperative day 3 with frequent watery stools and abdominal pain. Admission vital signs were notable for a temperature of 39.4° C and blood pressure of 125/65 mm Hg.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: Alon Vaisman, MD, MAS, 8PMB 104 200 Elizabeth St, Toronto General Hospital M5G 2C4 (firstname.lastname@example.org).
Published Online: March 28, 2022. doi:10.1001/jamainternmed.2022.0413
Conflict of Interest Disclosures: None reported.
Additional Contributions: We thank the patient for granting permission to publish this information.
Additional Information: Dr Halani is an internal medicine resident, Dr Vaisman is an infectious diseases staff physician, and Dr McIntyre is an infectious disease pharmacist. Drs Vaisman and Halani were involved in case preparation. Drs Halani, Vaisman, and McIntyre were involved in the literature search, manuscript preparation, and editing and revising the manuscript. All authors contributed to the preparation of this article.
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