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A young patient with heart failure – picture Quiz Question


Case report

A 28 year old gentleman presented after an episode of collapse with loss of consciousness.

He gave a history of non-specific malaise and myalgia over the previous 7 days, with fever, a generalised rash and a non productive cough. He developed progressive shortness of breath with sharp, pleuritic chest pain that was unresponsive to antibiotics in the community.

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