A 54-year-old patient with a history of hypertension, hyperlipidemia, and mitral regurgitation with a recent mitral valve replacement 3 months ago, presents to the emergency department with generalized weakness and chills for the past week. The patient states that he also has lesions around his fingers that are painful. The patient is febrile to 101 F and tachycardic to a heart rate of 110/min with a blood pressure of 160/78 mm Hg. A physical exam is notable for a murmur in the apex with tender nodules in his hands bilaterally. Labs show leukocytosis with a white blood cell count of 12000/mcL. What is the next best choice of management for this patient?

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