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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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