A 70 year old man is transferred from a long-term care facility and admitted to Neurology following a stroke. Three days later, his urine is noted to be cloudy and foul-smelling. He is afebrile and denies dysuria, urgency, increased frequency, or back pain. He does not have a urinary catheter. His urinalysis is positive for nitrites, leukocyte esterase, and leukocytes. His creatinine is normal and his urine culture is positive for the growth of Enterobacter cloacae. Susceptibility testing is pending.