A 43-year-old woman who reported having fever, chills, productive cough, and diarrhoea for five days came to the hospital.

 

PMH: Her past medical history included hypertension only. She also had a history of foreign travel & hospitalisation in a ward containing community-acquired infection. 

 

Examination: On examination, she was febrile to 39˚C, tachypnoeic, tachycardiac, and had bilateral infiltrates on chest radiography. 


Lab investigations: Initial pathology analyses were: a white blood cell count of 19.3, 109 /L (polymorphs 90%, lymphocyte 4%), haemoglobin 12.5 g/L, platelet count of 149, 109 /L, urea 7.9 mmol/L, creatinine 257 mol/L, and lactate dehydrogenase 2513 IU/L.

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