A 58-year-old lady presented to the Emergency Department with a two-day history of shortness of breath and confusion, on a background of one week's history of general malaise, vomiting, fevers… Click to show full abstract
A 58-year-old lady presented to the Emergency Department with a two-day history of shortness of breath and confusion, on a background of one week's history of general malaise, vomiting, fevers and chills. Her past medical history was unremarkable except for a large, benign goitre. Systemic enquiry revealed no symptoms to suggest a focus of infection.
               
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