A 16- year- old girl attended the with 3 weeks of productive cough, fever, myalgia and intermittent night sweats. She reported several days of emesis, dyspnoea and pleuritic chest pain… Click to show full abstract
A 16- year- old girl attended the with 3 weeks of productive cough, fever, myalgia and intermittent night sweats. She reported several days of emesis, dyspnoea and pleuritic chest pain but denied haemoptysis. On exam-ination, she was diaphoretic, tachycardic and tachypnoeic. Auscultation revealed left basal inspiratory crackles and reduced air entry. Chest X- ray (CXR) showed ‘left- sided pleural effusion, patchy consolidation and opacity over the left lung field, which is presumably artefactual’. bud
               
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