The patient is 65-year-old female who presents to the ED complaining of fever, chills and shaking. The patient is known to have multiple sclerosis with a neurogenic bladder for over 10 years. She has had an indwelling Foley in place. She is known to have hypertension. She has had kidney stones, had a thyroidectomy, history of some DVTs and she is on Coumadin. She is started immediately after the cultures are drawn in the ED on Meropenem and admitted inpatient. Blood culture and sensitivities are negative. The urine is growing bacteria which one would expect. There is no sensitivity as of yet. I believe this patient warrants acute inpatient hospitalization. She undoubtedly will require some intravenous antibiotics for the most appropriate
