No Stone Left Unturned: A Rare Case of Viridans Strep Bacteremia Secondary to Choledocholithiasis

When assessing a patient with bacteremia to develop an appropriate treatment plan, it is important to identify the most likely source in order to achieve source control as well as provide adequate antibiotic coverage per culture results. Through confirmation bias and the availability heuristic, it is easy to consider only the most commonly known or first options that come to mind when thinking of the source of a particular type of bacteria, potentially missing the actual source of the infection. The purpose of this report is to highlight an interesting case of undifferentiated viridans group streptococci (VGS) bacteremia where the source was not the oropharynx as is commonly thought, but rather translocation secondary to choledocholithiasis.