An elderly man presented with fever and malaise for a week followed by right buttock pain which was worse on sitting for 2 days. He has well-controlled hypertension and ischemic heart disease.

An X-ray of the lumbosacral spine showed narrowing of the L2-L3 disc space following which an MRI of the spine was arranged. Blood cultures were positive for Streptococcus bovis.

Questions:

  1. What is the diagnosis?
  2. How should this man be managed?
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