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• 25 year old male with history of aortic valvuloplasty • s/p tongue piercing 2 months • 6 day fever, chills, rigor, SOB • aortic valve vegetation on echo, ESR++ • Blood culture positive with small, GNR • Growth on SBA, Choc, NG on Mac • smells like paste • catalase (-) oxidase (-) nitrate (+)

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