A 30-year-old male presented acutely to our medical service with a petechial rash over his body of 2-day duration. He had no chronic medical conditions and works as a waiter. Further evaluation revealed a diagnosis of refractory TTP and received plasma exchange, steroid, Rituximab, and Caplacizumab with excellent recovery. Through this admission, he developed a seizure with suggestive MRI of neurocysticercosis and received Albendazole with steroids. Furthermore, he developed MSSA bacteremia likely lines related and started on Cefazolin with the fever subsided and no evidence of endocarditis on the Echocardiogram. Toward the end of the two weeks course of Cefazolin and 4 weeks of hospitalization, the fever recurred with left hip pain. On examination, the left hip was held in flexion, externally rotated, and exquisitely painful with minimal movement in all directions. Laboratory findings revealed a white cell count of 16.4 109 /L (4-11) with 88% neutrophils and a C-reactive level of 220 mg/L (0-5). MRI showed evidence of left hip septic arthritis with iliopsoas collection (Fig. 1). A provisional diagnosis of disseminated MSSA infection was made. Cefazolin continued, arthrotomy and washout of the joint followed by CT- guided aspiration of the iliopsoas abscess was performed on days 7 and 9 respectively from the first joint symptoms. Cloudy yellow synovial fluid containing white blood cell count 74,000/mm3 (86% polymorphonuclear neutrophils) was obtained from the aspirates. Subsequently, all cultures were taken back sterile. Tuberculosis and fungal infection were subsequently considered and ruled out in the aspirated samples. However, at week 3 from the first joint symptoms, fever recurred, and CRP increased to 305(0-5). Repeated MRI of the left hip showed increased joint effusion and multiple collections of the muscles around the left hip joint, mainly in the obturator internus and sartorius muscle. Hence, radiology-guided aspiration (at day 27 from the first joint symptoms) for the sartorius muscle and obturator internus was performed but persistently the cultures were negative. A second incision, drainage, and washout of the joint (at day 34 from the first joint symptoms) were performed; however, this time the MALDI-TOF isolated the organism, and specific PCR targeting the yidC gene in M. hominis confirmed the diagnosis . Cefazolin was switched to Tigecycline and Moxifloxacin. Repeated MRI of the hip after three weeks revealed a significant reduction in all described abscesses coupled with improvement in clinical status in terms of fever, range of movement, and inflammatory markers (Fig. 2). Tigecycline was switched to Doxycycline, and Moxifloaxcin continued with a plan to continue therapy for 6-8 weeks. Unfortunately, the patient traveled back to his home and was lost to follow-up.