| 20th April 2017 | C/o shortness of breath and productive cough on several course of antibiotics. |
| 12th June 2017 | Fever, Chills & rigor |
| 22nd June 2017 | Admitted to the hospital & confirmed the diagnosis of IE with mitral valve abscess by TEE. Started on IV ceftriaxone, gentamycin & vancomycin |
| 27th June 2017 | Surgical excision of abscess & closure done with bovine pericardium and mitral valve replacement with St.Jude mechanical valve performed |
| 6th July 2017 | After 2 weeks of IV gentamycin patient developed interstitial nephritis. Then he was kept on only IV ceftriaxone & vancomycin |
| 9th July 2017 | Follow-up TTE showed normally functioning mitral prosthesis with mild MR. It was decided to continue IV antibiotics for 4 more weeks |
| 1st Aug 2017 | Follow-up TTE was satisfactory |
| 10th Aug 2017 | Patient discharged |
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