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Infective endocarditis: diagnosis delayed during swine flu pandemic
  1. William Moody1,
  2. Margaret Loudon2,
  3. Richard Watkin3,
  4. Richard Steeds1,
  5. Bernard Prendergast2
  1. 1Queen Elizabeth Hospital, University Hospital Birmingham NHS Foundation Trust, Edgbaston, Birmingham, West Midlands, UK
  2. 2John Radcliffe Hospital, Oxford Radcliffe Hospitals NHS Trust, Headley Way, Headington, Oxford, Oxfordshire, UK
  3. 3Good Hope Hospital, Heart of England NHS Foundation Trust, Sutton Coldfield, West Midlands, UK
  1. Correspondence to Dr William Moody, Queen Elizabeth Hospital, University Hospital Birmingham NHS Foundation Trust, Edgbaston, Birmingham, West Midlands, B15 2TH, UK; william.moody{at}nhs.net

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A 76-year-old woman with known mixed mitral valve disease, chronic atrial fibrillation, and a dual chamber pacemaker presented to her general practitioner with a 2 week history of fever, malaise, and progressive dyspnoea. Oseltamivir (Tamiflu) had already been prescribed via the NHS helpline but she had not collected the prescription. Initial assessment confirmed a temperature of 39°C with normocytic anaemia, leucocytosis, and elevated C reactive protein. Blood cultures grew a coagulase-negative staphylococcus initially reported as a skin contaminant, while reverse transcription-polymerase chain …

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