A 72-year-old man presented to a level-1 urban trauma center by ambulance after a witnessed syncopal event. The syncope was sudden and without prodrome, resulting in facial injuries. He was feeling well until the day before when he developed fever and chills. History was obtained from his family who witnessed the event and emergency medical services because the patient did not recall the events preceding the syncope. The patient’s medical history included hypertension and prostate cancer with robotic prostatectomy.