LAUSR

gested urinary tract infection, and she was adequately treated. But all cultures (blood, urine, and stool) came negative throughout the hospitalization. Imaging showed extensive mandibular erosion suggestive of surgical debridement versus chronic osteomyelitis. Autoinflammatory, abscess, thromboembolic causes, and malignancy were ruled out. Previous bone cultures performed a month ago at a different facility were obtained and showed Actinomycotic osteomyelitis. Local mandible wound swab cultures grew Candida, Pseudomonas, and multidrug-resistant Klebsiella. She was treated with appropriate antibiotics as per sensitivity for at least 2 weeks but continued to spike daily fevers. Thereafter, prednisone was started considering the possibility of fever secondary to hemolytic anemia. She became afebrile after 4 days and remained afebrile thereafter.