August 2017 Br J Cardiol 2017;24:117 doi:10.5837/bjc.2017.023
Saad Ahmad, Irfan Ahmed
Case A 45-year-old woman with no significant past medical history presented to our hospital in October 2015 with coryzal symptoms. She complained of a sore throat, malaise and described a brief loss of consciousness. She was assessed and found to be febrile with a temperature of 38.3 degrees Celsius. Physical examination and work-up with blood tests and chest X-ray (CXR) were unremarkable. The working diagnosis was that of a flu-like illness. The patient was given reassurances and advised bed rest, fluids and paracetamol. She was discharged from hospital and it was not until her notes were reviewed by a consultant physician that a suspicion o
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