Chapter

Case 40

Rajkumar Rajendram, Javed Ehtisham and Colin Forfar

in Oxford Case Histories in Cardiology

Published on behalf of Oxford University Press

Published in print March 2011 | ISBN: 9780199556786
Published online November 2012 | e-ISBN: 9780191753305 | DOI: http://dx.doi.org/10.1093/med/9780199556786.003.0323

Series: Oxford Case Histories

Case 40

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A 22-year-old nursery assistant was found collapsed at home by her partner. She was unrousable, had laboured breathing, and her left arm and leg were shaking. On arrival of the paramedics her GCS was 3/15, and she was in respiratory distress with coarse crepitations throughout her chest. Endotracheal (ET) intubation was performed and she was taken to hospital by ambulance. Her partner explained that she had been off work for the last 2 weeks with sinusitis. She had been taking antibiotics for 1 week with no improvement in the periodic fevers, night sweats, and arthralgia. For the preceding 24 hours she had complained of severe abdominal pain and worsening breathlessness. Her GP had attributed these symptoms to the antibiotics.

Chapter.  2800 words.  Illustrated.

Subjects: Cardiovascular Medicine

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