HISTORY OF PRESENTATION
An 81-year-old male with a history of Bio-Bentall procedure performed 13 years ago presented to the emergency department with the chief complaints of fever, chills, and flank pain. The patient was previously an active individual who acutely developed symptoms of bilateral flank pain, weakness, fever, and chills a week before admission, and nausea with no vomiting two days prior to admission. Upon examination, vital signs were stable and there were no other significant findings on systematic review.