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Abrupt-Onset Low Back Pain With Fever and Elevated Inflammatory Markers

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A 73-year-old man with a history of hypertension, type 2 diabetes, aortic stenosis, and coronary artery disease presented to the emergency department reporting a 24-hour history of left flank pain that had started abruptly and a concurrent fever. History. Four days earlier, the patient had undergone a diagnostic left-heart catheterization as part of an evaluation for valve-replacement surgery due to severe aortic stenosis, and the procedure had been performed without complications. The results of the catheterization indicated multivessel disease, and coronary artery bypass grafting was recommended to be done at the time of aortic valve replacement.

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