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A 64-year-old man presented with a month's history of fatigue, general malaise and occasional rigours. He was feeling feverish on examination with no peripheral stigmata of infective endocarditis. The patient had a prior history of a permanent pacemaker (PPM) placed in 1980 for symptomatic bradycardia, with …
Contributor ZS described the case, obtained consent, obtained imaging from NIMIS online radiology system and sent case for publication. CF reviewed case as a consultant and advised regarding changes.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.