A 54-year-old male with history of end-stage renal disease secondary to hypertension on hemodialysis with moderate aortic valve insufficiency presented with progressive exertional dyspnea and lower extremity edema over several weeks. Relevant history included hospitalization for
Staphylococcus epidermidis
bacteremia secondary to dialysis catheter line infection 6 months prior. (
Level of Difficulty: Advanced.
)
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