A 57-year-old male with hypertension and hypercholesterolemia underwent tissue aortic valve replacement for bicuspid aortic valve. Six months later, he presented to an outside hospital with sudden acute abdominal pain and lower extremity pain and weakness. He reported a four-month history of right neck pain, and two months of low-grade fevers, sweats, malaise and dysphagia. He was born in Mexico and migrated to the United States 14 years prior. He lived in an urban area of South Carolina and worked as a landscaper.