To the Editor: In May 2009, a 52-year-old man was hospitalized with middle cerebral artery stroke and fever of unknown origin. He had a complicated medical history of middle cerebral artery stroke and mechanical valve replacement of the aortic valve 2 years earlier and gastric-duodenal angiodysplasia. Two months before the most recent hospitalization, he had been hospitalized because of fever and anemia; blood cultures were positive; Gram stain identifi ed coryneform rods that did not grow in culture. Antimi-crobial drug therapy with levo. oxacin (400 mg 1×/d) was initiated, and the patient was discharged
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