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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 …
Competing interests BP is a member of the Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC). No other competing interests declared.
Provenance and peer review Not commissioned; externally peer reviewed.